1995, 10-30 Permit App: 95008983 Reroof APPLICATION INFORMATION q15- • 49 qg�
What is the JOB SITE address? ASSESSOR'S tax parcel number?
/032;7_ yir-;eet
Legal description as d appears on the propert
OWNER or UPAPhone
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Mailing r City, tate Zip
b----,
7
7 orii '.(e(
Who s d we co4c3gar in his project?
79,-, -17-7-SY
What work is b 'ng done nder thi permit?
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Lone Ins tor.(strict 'roperty ize Right of way width
H
Water district ✓1 ..
a+
� m
Building Building height #of stories
Contracto Dimensions TOTAL SQUARE FOOTAGE
iA
WA Sta Contra or license# Main floor area Unfinished basement area
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Ma mg address — 2nd floor area Finished basement area
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Arc11,15V
ect/Engineer Garage area Size of decks,etc.
What is the heat source/ What is the cost 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
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