1995, 07-31 Permit App: 95005810 Reroofm
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APPLICATION INFORMATION �4z' , 4-5 (
Mt is theB SIr-�E adtlreu� SESS 'S tea parcel number!
Legal description u R appears on the Property deed
NER dOCCU ANT Phone,��L�/ �\ TzXb
Mailing "ones Ry, Nate p r
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Writ shouldwec regarding Use grOssi Phone
What work is being done under{/�(thiiss permit?
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u n
ops ave
iq o war vn
Ner H
Building
Building height
Yof stories
niraciw
01merelsons
O A
A State Com actor licanae[0 ,- -jam /
L 0--"
Main Ikwr a.
Unfinished basement are
asp
rare*
Ines same area
Archeect/Ensti
Garagearea
S¢eo decks, Nc.
Whet is the heat sour.?
What ie the cost of Your Woledl
Manufactured Home
Sign
kgh:
Length:
Whet is the .,.are footage of
the sign facet
How high is the sign)
Year..
Make:
Installer
Contractor
We State Connector license N
We State Contractor license x
Mviirp sddr...
Mailing address
Relocation
Fire Safety
Previous address
Fre Sprinkler _ Tend
Paint booth _ Fre Alarm Fireworks i iefday _
VALUE
Contractor
Mractor
A Slate Contrector license N
WA State Contractor license N
Mailing address
Mailing address
Fuel Storage Tanks "
Swimming Pool
(Circle one) Abovrproun l underground
Size / gallons
Private
eM6 of Iank(s) Sire / gallons
PublidsemFpmate
Contractor
Contractor
We State Contractor likeness N
WA Slate Contractor license N
Mailing address
Mailing address
COMPLETE ALL APPLICAULE INFORMATION
Spokane Count, does not discriminate on the basis of disability in the aAmiesion to, or treatment or employment in, its programs or *divides.