1995, 09-21 Permit App: 95007589 ReroofAPPLICATION INFORMATION
hat is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
Mailing address City, state Zip
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ho should we contact regarding this project? Phone
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What work is being done under this permit?
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Inspector district
Property size
Right of way width
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ater district
Building
Building height
# of stories
Contractor
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Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
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Main floor area
Unfinished basement area
Mailing address
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2nd floor area
Finished basement area
ArchitecU ngineer
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Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project? / QC'
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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 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 - 'S ir. irl lil ly , .._;..•
(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
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Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.