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1995, 08-08 Permit App: 95006068 Repair Fire Damage S 3 22J-/- APPLICATION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? Legal description a t appears on the pro.-rty deed Shu-3-erh. 4. 1 C / 3 6 7 OWNER or OCCUPANT Phone cu t �jh1 1..'In G'd)- k)k"1 Mailing address City,state Zip Whoi.iould we contact regarding this project? Phone Din51 ;��t� ` I ec-nof ccs, s � �� f e �ik q 'c, What work is being done under this permit? ,- , j' • L-1-Lf-1.e j-tlin CT Lone Inspector distract Property.size Hight•of way width a) d y .. Water district ;: :: ;: e ;' 4' 0 a a Building Building height #of stories Cgntractor Dimensions TOTAL SQUARE FOOTAGE k 01'16_D -t�cT'3� c! 6\v (cc\Ics WA State Contractor license# Main floor area Unfinished basement area N: ?1 r- D,() 1 L3-7 Mal ing address � 2nd floor area Finished basement area H 3 + \ ) 'J / � ' t?L () ,: Architect/Engineer ) Garage area Size of decks,etc. What is the heat source? What is the cost of your project? Manufactured Home n Si9 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 Fuet Storage Tanks Swimming Poot (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.