1995, 04-12 Permit App: 95002230 Reroof ,D-730
V"" APPLICATION INFORMATION \ . 44
'What is the JOB SITE address? ASSESSOR'S tax parcel number?
•Legal descriptions l a peas on the'property deed
OWNER or OCCUP T � Phone
Mailing ad ress City,stat Zi
5/ 00/11.(_.- I9/Z#4fitll
Who should we contact regarding this project? Phone _
What is/lingdone under this 'ermit?
/
Lone Inspect• distr Property size Right of way width
a) a)
U) d)
Water district
+• 4-I
a. a
a) a)
0
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
i 1. rX-e /rt.
WA St-te ontrac or license# / Main floor area Unfinished basement area
Mailin address 2nd floor area Finished basement area
00 0
Architect/Engineer/ l Garage area S' 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 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.