1996, 08-15 Permit App: 96006653 Reroof APPLICATION INFORMATION ((,7 (.2
What is the JOB SITE address?,o100vs--
tax parcel number r_,. Sao �,o. vs-- �{S a � � c
Legal description as it appears on the property deed
C JA1,A• 0
OWNER or OCCUP "I\ Phone
oto DwNB-2 - 64=)-S7
Mailing addressCity,state Zip
685Wh341 ►S NW ID — C . )1i-c�cex,v WA 9 66c3 ---
Who
o should we contact regarding this project? Phone
06^1 R • .\-- v4c1(. 360— 57�- SaS
What work is be_in��g,,,done under this permit?
QE-ROOF ExT-5REs-vDev-;zAL , As Pt c.T S t ES
c vg.QEo,--r pots. c op'i TS o yr 3. LATEQ3 of hSQt8A V Cc -1P• ci--PIDEF17246
'S MA ' Eio C, govt EX5S7VCOa6 V0.'toR►a Ntw 'TSTA%.•41 .
lone Inspecf�orr district Property;srze lt,gnt of way width
a) a)
Water district
aa
a� a�
Building Building height `#of stories
TocZY ScDfZY
Contractor Dimensions TOTAL SQUARE FOOTAGE
100
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is th ,ist of your project?e.
o
Manufactured Home Sign;
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 afet
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
Fuei 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.