1996, 11-12 Permit App: 96009997 Detached Garage 6/6 -Qaa7
APPLICATION INFORMATION 0 O ( .5
What is the JOB SITE address? ASSESSOR'S tax parcel number?
A5-0Z/57 /K/1 L 2-e-13 G7-
Legal description as it appears on the property deed
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OWNER or OCCUPANT Phone
c,E- 0/ 4//A I/ z �'os
ailing address City,state • Zip
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Who should we contact regarding thi project? s Phone
What work is being done under this permit?
Lone Inspector district Property,size Right of way width
ce
C,, N
D
Water district
Y Y
0. a
O 0
Building Building heightigf #of stories
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Contractor Dimensions TOTAL SQUARE FOOTAGE
W State Contractor license# Main floor area Unfinished basement area
Tik/Z 72
Mailing address 2nd floor area Finished basement area
Wei Cd goo S'vAvs / `✓moi
Architect/Engineer / Garage area Size of decks,etc.
What is the heat source? What is the coat of your project?
Manufactured Home Sign
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 Pool
(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.
Site Plan
) /44/774:
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.
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments 0 Underground utilities
❑ Distances from center of roads, right of ways, 0 North arrow
private roads & property lines 0 Septic tanks & wells
0 All existing & proposed buildings