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1995, 10-31 Permit App: 95009033 Reroof APPLICATION INFORMATION ° 6—(1, 63 'What is the JOB SITE address? ASSESSOR'S tax parcel number? © `P 't ) . LJa.crt..1 -" , IP 66\ , --0 L I description as it appears on the property deed OW ER or OCCUPANT Phone r\L C-i/r-vi) rncta.) Mailing ��aaaddress { City,sta�t`e_ Zip A . ict(. .t fn Who ould we contact arding this project? r_ Phone it Ff'o S3S /©a-F( What wc is being done under this permit? T--e_ &d P-- ,Lone Inspector district Property size night of way wndth a� m V) N Water district a a m Building Building height #of stories Contractor Dimensions TOTAL SQUARE FOOTAGE QC.t..t L_ bA-4.)l S Syc 4Q, 1S WA State Contractor license# Main floor area Unfinished basement area ta43 -.I.ss 6pCaQ7 Mai ing 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? ,--,I-168,-`-`-' Manufactured•Home Sin 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.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 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in,its programs or activities.