1996, 01-03 Permit App: 96000050 Reroofn
O
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR' St. parcel number? i{
%Z
Leon as R appears an the property asec
gal tlescript
OWN ER or OCCUPANT _--Pwe
O
ailing address ay, slate rP
WE should we contact regartlinp this project? phone
-le work isbeing done under this permit? -- -- _
eInS,peotordilan
Right of way W
aber stand
Building
Building height
%of stories
Contractor
Imensrons
A State Corrector license %
Main floor ams
Unlnitun d basement are•
ar rap a rasa
n aor area
rms semens area
ch. ngr^ear
Garage area
So. of dec", etc.
Met I. he heat .our..?
Whet is the cost of your project?
Manufactured Home
Sign
itlth.
Length
Whet is the squ.re footage of
the sign face?
How high is the .?prat
r,
Make:
Installer
Contractor
W State Contractor license %
W State Contractor license %
Mailing add....
Meiling address
Relocation :
Fire,Safety
Previous address
Fire SprinMer Tent
Paint booth _ Fire Nam Fire ft display _
VALUE
Contractor
Contractor
A State Contractor license %
WA State Contractor license %
Mailing address
Mailing address
Fuel Storage Tanks "
Swimming Pool
(Circle one) Aboveground Underground
sire /gallon.
private
Contents of tank(.) S¢e l gallons
'
Publidsemiyrivate
Contmclor
Contractor
We State Contractor license %
WA Stale Contractor license %
Mailing address
Mailing address
WharLt It ALL Arrut.1o1-1c nvrvnivi..I.—
Spokane County does not discriminate on the basis of disability in the etlmistion to, or treatment or employment in, its programs or sctivities.