1996, 07-26 Permit App: 96005911 Reroof l �
APPLICATION INFORMATION j 3c1
hat Is the JOB SITE address? ASSESSOR'S tax parcel number?
5 .Legal description as it appears on the property deed
OWNER OCCUPANT — Phone —_
Marti a dress City,slate Zip
Who should we contact regarding this project? Fhone
What work is being done under this permit? 1�/
PCO-r- 1.0
.one nspecor .is ric 'tope_rysize •Ig o way ve.
tll y
Water district
a a
ct
O a
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
&{- E 1 S RorJ( J4 .
WA State Contractor license# Main floor area Unfinished basement area
Mailing address TfooF area — Finished basement area
J�O ) r ,11-65
Arc ltecU ngineer Garage area Size of decks,etc.
What is the heat source] What is the coat of your project?
;Manufactured Home Sign
Width: Length: What is the square footage of Bow high is the sign?
the sign fnce7
Year: Make:
Installer Contractor
Wa State Contractor license # We 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# VVA State'Contractor license#
Mailing address Mailing address
Gi int qtr rau1P T ilk 1 Swimming POO)