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1995, 10-18 Permit App: 95008632 ReroofAPPLICATION INFORMATION (t What is the JOB SITE address? 1.6311* e , Vq 1tc2 La. Legal description as it appears on the p operty deed ( ASSESSORS tax parcel number? OWNER or OCCUPANT Mailing address Who ould we contact regarding this projetl / S©F, 'o tit City, state p' k-4/ Phone Phone C(C)..ti 636 3 5'3 S' --/ Er Zip What wov k is being done under this permit? Contractor S �e A -LS Building height Dimensions # of stories TOTAL SQUARE FOOTAGE WA State Contractor license # riliaILI\ssdaa127 M ng a dress Main floor area Unfinished basement area 1S3> f�ve ArchitectEngineer 2nd floor area Finished basement area Garage area Size of decks, etc. What is the heat source? What i the cost of y' r project? so© Manufactured Home Sign Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor Wa State Contractor license # Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler _ Paint booth Fire Alarm Tent 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 Contents of tank(s) Contractor Size / gallons Size / gallons Private Public/semi-private 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. vi r a 0