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1996, 02-29 Permit App: 96000998 ReroofN a CI APPLICATION INFORMATION g'cl--c(c32/ What is the JOB SITE address? ASSESSOR'S tax parcel number? 35"j 1V Az/e 2/,J Legal description as it appears on the property deed OWNER or OCCUPANT ak y 4ac1-44 Mailing address 57V 1(14/.! Phone -71k k Who should we contact regarding this project?((_ City, state eL7/4/-- Zip Phone What work is being done under this permit? Water district Contractor WA State Contractor license # //a 6)67_31 Mailing address /o/ Z A/ /1-, aft ,�/�. 5/,i- &; Building height Dimensions Main floor area -2nd floor area # of stories TOTAL SQUARE FOOTAGE Unfinished basement area Finished basement area ArchitecVEngineer Garage area Size of decks, etc. What is the heat source/ What is the cost of your project/ Manufactured Home Sign Width: Length: What is the square footage of the sign face/ How high is the sign7 Year: Make: Installer Contractor Wa State Contractor license # Wa State Contractor license # 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` Poon (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. 7 O. d