1995, 05-25 Permit App: 95003628 Trusses ,.
APPLICAT'I&1 INFORMATION 4/5-,2- 0 C./0
What is the JOB SITE address? ASSESSOR'S tax parcel number?
50 2 &,l
Legal description as it appeatton the property
OWNER or fiUPA Phone
C
Mailing a dress City,eta Zip
iq 3/4
Who should we contact regardi t is pry - P
� ��25
What work is being done under this permit?
t
� •� 7/, 6/ % /
nspeCtor ts:;. Yroperry 8¢e L � K►ght#►t way wtdt#1.
m m
7
...:..:: :....
a a
d m
Building Building height #of stories
Contract / Dimensions TOTAL SQUARE FOOTAGE
1/9/41977
WA ZeC7ontractor license# Main floor area Unfinished basement area
e/ 2' �
Mailin ress 2nd floor area Finished basement area
6 //.0)//4
Ar Recti ngineer i Garage area Size of decks,etc.
What is the heat source? What is the c f your project?
Manufactured Home
CO
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent _
Paint booth_ Fire Alarm _ Fireworks display
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
Fuel Storage Tanks Swimming Poo[
......................... ...... .
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
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.