1995, 09-26 Permit App: 95007747 Reroof C---°_---) —---)
L---- i.---7 ( —2 APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
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OWNER or OCCUPANT Phone
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Mailing address City,state Zip
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Who should we contact regarding this project Phone
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What work is being done under this permit?
Lone Inspector district Property size Night of way width
a) m
Water district .
a
; m
__
B ilding Building height #of stories
�j Contractor Dimensions TOTAL SQUARE FOOTAGE
T _
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' 24 WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
f
(' Architect/Engineer Garage area Size of decks,etc.
What is the heatsource? What is the cost of your project?
6; ,/ -7 c'
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Manufactured Home Si 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 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.