1995, 08-29 Permit App: 95006776 Reroofgs-4`.7 ?4
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APPLICATION INFORMATION
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'What is the JOB SITE address? ASSESSORS tax parcel number?
532oc, E. IA14N SPokANE, km-..q9o..�
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Legal description as it appears on the property deed
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OWNER or OCCUPANT Phone
M I LI IZEt E•vE2564 924 -616'7
Mailing address City, state Zip
2204 E. VM44.sPol2ANE•/ �JA. `h9stat
Who should we contact regarding this project? Phone
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What work is being done under
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this permit?
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Building height
# of stoles
Contractor
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'Dimensions
TOTAL SQUARE FOOTAGE
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WA State Contractor license #
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Main floor area
Unfinished basement area
ai ilGt"Tn» ddress
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. rndiloor area
Finished basement area
Arch tec Engineer
Garage area
Size of decks, etc.
What is the heat source?
What Is the cost of your project? �/
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Man' fac l're d3-torrle
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Width:
Length:
hat Is the square footage of
he sign face?
How high Is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address}�Y{
Mailing address
Reloca it r k A. 1,., ` ` ` d k `c k
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Previous address
Fire Spdnlder Tent
_
Paint booth Fire Alarm Fireworks display
_ _
VALUE
Contractor
Contractor
WA State ContractorJicepse #. -
WA State Centrter license e$
Mailing address
Mailing address
Fue[Storage`'Canks,,nyr F .,<::=d y<F<'�M 2 ¢ °coy
$rn�,rnzr i rt ?dot, <; rrt
<$5 5 _ > .::?
(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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