1995, 09-20 Permit App: 95007515 Reroof 95 —
APPLICATION INFORMATION 151 S
'What is the JOB SITE address? ASSESSOR'S tax parcel number?
R'?A47/ ' s/��� S5 11 LS
Legal description as it appears on the property deed
(9-1A_Trti12lE5 t34 L— ) -
VOCI
OWNER or OCCUPANT Phone
, a vv.9 Ca/e s- 9,? ? — Vo off'
Mailing address City,state Zip
/?9/2 / S/P,I ,5A 4/E w/7 2 07‘
Who should we contact regarding this project? Phone
/11/9;1)/'r i/(16—
What work is being done under this permit?
ref
Lone Inspector district: Property:size }tight of way width.
s) m
Water distr c;
a
Q
Buildin Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
/ /(/6- /vo Co
WA State Contractor license# Main floor area Unfinished basement area
�Ati6-- RCAz06CDT
Mailing address c�/ �A 2nd floor area Finished basement area
Go 7 $ F-sr J 6319205/
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is h2go*ofy.eur prat?`
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 Storag• e•T•a•nks' Swim
ming 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.