1996, 05-06 Permit App: 96003104 Remodel •
APPLICATION INFORMATION
hat is the JOB SITE address? ASSESSOR'S tax parcel number?
/76 L z- — 4- 7%- //z.'c.
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
Mallin address City,state Zip
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ho should we contact regarding this project? Phone
What work is being done under this permit?
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one nspec or•is nc >:: •rope size �g o way vn
a) ar
y
p
afar district::
a a
a, d
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
(f.11ri P.h-
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 the coat of your project?
ft -azgY)
Manufactured Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face? +p • Xy - z
Year: Make: a. -' '
7.1 i4
Installer Contractor ;;
Wa State Contractor license# Wa State Contractor license# i;: -t•
Mailing address Mailing address
Relocation Fire Safety
Sprinkler Previous address Fire s p' Tent
Paint booth_ Fire Alarm _ Fireworks display _
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address