1996, 06-05 Permit App: 96004146 ReroofAPPLICATION INFORMATION
What is the JOB SITE address?
1008 S. IP,4Je-K P,los
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
OWNER or OCCUPANT
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Mailing address
Phone
City, state Zip
/lit) . L-c)f- g05'/ ,
Who should we contact regarding this project?
DA L✓EOE D- mczidTWi
What work is being done under this permit?
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Roo OFP - kElodP Po :s.ieL_E PE-PU4c. /PF_!3ToF S /+£lam-/ n/6
Water district
Building height
# of stories
Contractor
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WA State Contractor license #
Dimensions
TOTAL SQUARE FOOTAGE
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project? 1soo
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 #
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
Fuel•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.
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