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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 f�� 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? r,, .0/ � .e_---,0 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 ! Ma mg address — 2nd floor area Finished basement area / i�� � 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 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.