1999, 0-29 Permit App: 99010475 Tear Off, Reroof --- -1-*(e) 1
42S
APPLICATION INFORMATION
"What is the JOB SITE address? , ASSESSOR'S tax parcel number?
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Legal Description as it appears on a property eed
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OWNER or OCCUPANT �(� Phone
mak 4—Veil WI ..5 /l, `"lam y7/--te z DA/74 e;)-
ailing address City,state Zip
%G%2 KILeiWyWho should we contact regardins project?! Phone
Deli,iic R. Wad-i i l�/(2r4 Phr 593— Yi5k
What w rk is being done under this permit?
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Lone Inspector district Property size Kight of;,way width.:
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Water district .
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Building • Building height #of stories
Contractor ( Dimensions TOTAL SQUARE FOOTAGE
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WA State Contract r license# Main floor area Unfinished basement area
Mailing address '2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of yourproject/
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.