1995, 04-18 Permit App: 95002455 Deck Cover i
APPLICATION It FORMATION
What is the JOB SITE address? ASSESSORS 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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Who should we contact regarding this project? Phone
What work is being done under this permit? / —�
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Lone Inspector district i rope size Krght of way width
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Water district
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Building Building height #of stories
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Contractor n Dimen-;o v T( TOTAL SQUARE FOOTAGE
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ise WA State Contractor li # Main f••r area ®nfinisished basement area
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Mailing address d f or area Finished basement area
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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?
g 5 the sign face?
Year: U Make:
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Installer l/ 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 Swimming Pool
(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
COMPLETE ALL APPLICABLE INFORMATION
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