1996, 05-03 Permit App: 96003063 Pool ' -J' ,.7,---1.„.„..,___,,i
< ,,i APPLICATION INFORMATION
%What is the JOB SITE address?
i .q0Z 6 ; ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
2 M' o` rcc 6ec�nur-LA e Cc% ' /.,7 L)
ailing address City,state Zip
- c/c) S . .,c-/-e e / Uecetc(e (t IL,Pi- 77oa. 3
Who shouldcontact regarding this project? Phone
/f'1ich e / I- /r171 i__ /(e i- >(- 0' f1- 158 4
What work is being done under this permit?
u.,11-rrim1n7 Poo
i I roper:ty.size
e ;; _ Inspector tlistnct Right of way vtnrtth .:;
N y
Water district......
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Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
ArchitecVEngineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
Manufactured Home Si 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 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
Fuji Storage Tanks Swimming Pool
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons a(.9 X 4// 30 C`c c> )/c'-5
Public/semi-private
Contractor Contractor _2/4/0 t)J k11y I'0,
Wa State Contractor license* WA State Contractor license#_
Mailing address Mailing address
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/D02 // 4- yr/ 1� �`Ie-lc 6:
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.
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