1996, 01-05 Permit App: 96000109 Reroof •
/D j APPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
70 ' ,3 Las
Legal description as it appears on the property deed •
� 2
OWNER or OCCUPANT `r Phone
Mailing address City,state Zip
Who should we contact regarding this project? Phone
What work is being done under this permit? bSC�S ,
Lone ;; Inspector district Property size Right of way width
5
N y
Water district.... ....
D
Building height #of stories
Contractor:``:::#. ................. ._.... ... ........................... ....... ....................>:>' Dimensions
TOTAL SQUARE FOOTAGE
�nf
WA State Contractor license# Main floor area Unfinished basement area
YV\ 2S0CI' A
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?
•
Manufacturedr HOMOMMENEMORMOUNEMO S� n ..::....
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 Safet
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
Feet Storage Tanks Swimmin`' Pool
9
(Circle one) Above-ground Under round Size/gallons Private
Contsr.ts 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.