1995, 03-16 Permit App: 95001500 ReroofAPPLICATION INFORMATION
What is the JOB SITE address?
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
OWNER or OCCUPANT
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Mailing address
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Phone
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Who s1(oy�Id we cc�r^tact regarding this project?
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What work is being done under this permit?
Inspector district
Water district >;
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WA State to ice - -
Building height
# of stories
Dimensions
TOTAL SQUARE FOOTAGE
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Y Main floor area
Mailing address /
2nd floor area
Architect/Engineer
Garage area
Unfinished basement area
Finished basement area
Size of decks, etc.
What is the heat source?
What is the cost of your projec
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
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Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth _ Fire Alarm _
Tent
Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
IFueI
Storage Tanks
Swimming Pool
(Circle one) Above -ground
Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.