2001, 10-22 Permit App: 01009316 Remodel ot - 1 -5i (04 1 ‘-2--? . 35
APPLICATION INFORMATION
What is the JOB SITE address? – ASSESSORS tax parcel number?
35-1/ S. j//r glet /a
Legal description as it appears on the propeeff deed
OWNEII R OCCUPANT rft. �V✓ RP• C-- / I?~ 274
Mailing address City,state Zip
3 ._ // S., v1r jiNit 90iketAie- WA
Who should we contact regarding this project? Phone
Z, tt 6b1s — i'99- 7 ?
What work is being doneunder this permit? ,p
„f ra+wQ� lafe,nve, 4- i /n shi(-/-11_,, Slice-7 ^o Lk/P/ Rityr
. one Inspector.district Property size Right of way width.
w
Water district
aai 5,
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Building Building height #of stories
ContractorDimensions TOTAL SQUARE FOOTAGE
G o /e- Co h S-/-r mc:r 10
WA State Contractor license# Main floor area Unfinished basement area
Mailing address2nd floor area Finished basement area
PO Eo '/S/i S�'° 77�2-C� /0 JO sl Pr`
Architect/Engineer Garage area Size of decks,etc.
What is the heater ur a What is the cost of your project?/ a ? �� �f+-'
Manufactured Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
We State Contractor license# Wa State Contractor license# a
Mailing address Mailing address 0
Relocation Fire Safety .k
Previous address Fire Sprinkler _ Tent _ ry
Paint booth_ Fire Alarm _ Fireworks display _ t
VALUE (a
Contractor Contractor T
WA State Contractor license# WA State Contractor license#‘..4
Mailing address Mailing address
Fuel Storage Tanks Swimming Pool
(Circle one) Above-ground Underground Size/gallons Privet
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
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