1995, 05-24 Permit App: 95003592 French Doorsa)
y
0.
a)
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
' L — 2-3 c-'
w S6 2-24-5
OWNER or OCCUPANT
5 � � 1--1 z � z�
Phone
'.-
Mailing address
City, state
Zip
Who should we contact regarding this project?
14:
Phone
What work is being done under this permit?
A_,_ , •� (2- = o
S
S —r ....1 cY H lz
Contractor
Building height
-bimensions
# of stories
-'TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
Architect/Engineer
2nd floor area
barage area
Finished basement area
Size of decks, etc.
What is the heat source?
What is the cost of your project/
Manufactured Home
Si n
Width:
Length:
What is the square footage of
the sign face7
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
Fue[ 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.
h
D
O.