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1995, 06-08 Permit App: 95004078 MH t J' APPLICATION INFORMATION 1 7 C )g What is the JOB SITE address? ,, ASSESSOR'Sr. tax parcel number? fa -F- Oc e -- L t,4, 0 ,(foAk Legal description as it appears on the ��opert OWNER or OCCUPANT Phone � �(,e, 1. o 1,0 S/)� ,Voc3-C) MSC (L4-O2)Lit--1 Mailing address City state Zip 1 Dt-1 (use U ^ L etas1 .J - g9c�tlo Who should we contact regarding this project/ Phone 3 4 erg.: 1:3P° C '595- I 1(1'2) c. r ,j What work is being done under this permit? C-:,C i 1'110`2c C. klUY1,q , ( Cif_lae LU-t(_0. ; t51/l_ L- 4cne inspector district; ..... :.:: .. property;size Right of way wI to m m : . i D Water district ...: .. .. o .: .:.:.:.:.: ..... : a :.:::. .:. iw Buildin� . .... .... . . . ... ... Building height #of stories .. .. TOTALS SQUARE FOOTAGE Contractor:::.:. Dimensions Q • WA State Contractor 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 your project? Manufactured Home ::: Sign ....................... . . Width: Length: What is the square footage of How high is the sign? 2C • e .� (?S1- the sign face? > S- Year:q Make: I cG \''v(t I kcr etc Installer Contractor Wa State Contractor license# Wa State Contractor license# Mailing address Mailing address Relocatiion 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 Poo ;;� (Circle one) Above-ground Under round Contents of tank(s) Contractor Size/gallons Private Size/gallons Public/semi-private Contractor a 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.