2001, 03-23 Permit App: 01001775 Tear Off, Reroof APPLICATION INFORMATION 01 _ `9 Q
\Nhat is the JOB SITE address? 0 ;� ASSESSORS tax parcel number? l� l
, .4
Legal description as it appears on the property deed
5 YULUD 0 aQ./1(j q ,) ) —1DLOC\ ,
OWNER or OCCUPANT Phone
I DLA 6 - -Q, A\R - 'O. s; ,l
e� ZIP
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a 19-)J I ofF1 ►v g�:7)-- 170.6
'Who should we contact regarding this project? ( Phone
What work is being done under this permit?
1-- — off 0 r r o
ruhla
1:
�:Y
a
Building ' " - . .. . BuNding► u of stories
OontreVYOr Dirrrensions TOTAL SQUARE FOOTAGE
WCC a�license
Main floor area Unfinished basement area
area
0 _ (bS eS3W4 0 I OIKID
ding address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? Wha theosbof our project?
,
Manufactured Horne;: �$i g n:. : :
..........::.:.
.. ...:::.;
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 . :::-. ::.- -..:::,,,:::'.'.:i.,.:" FirefSafety .:::..- :..:.;: :.:: <. •
Previous address Fire Sprinkler_ Tent
Paint booth Are Alarm Firewalls display —
VALUE
Contractor Contractor •
WA State Contractor license 0 WA State Contractor license I
Mdg address Mailing address
Iduel Storaae--Tariks-.-:•-:•:-...::-.:::. :. :-:'- ::::. '. :. ISWlmmma Pool"-: •. ..---.•::••,. , •.-. . . .