1997, 09-26 Permit App: 97007740 GarageAPPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
•
OWNER or OCCUPANT n Phone
ailing address City,state Zip
IL--", 23 7 S�0ka�} (kiQ. C7g�/c
Who should we contact regarding t is project? Phone
What work is being done under this permit?
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Lone
Lk { cam
Inspector [strict
Property size
Right of way wgdth�
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Water district
Building
Building height
l�t/r6�.r
# of stories
1
/
Contractor
I(e4ss
Dimensions
/5 x y
TOTAL SQUARE FOOTAGE
3oZ,
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
% X327 a
2nd floor area
Finished basement area
Archit ct/Engineer
Garage area
/ --e_,,,)
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
the sign face?
How high is the sign?
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.
Site Plan
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
O North arrow
❑ Septic tanks & wells