1995, 10-31 Permit App: 95009076 Reroof APPLICATION INFORMATION 96-- go 7 4.
What is the JOB SITE address? ASSESSOR'S tax parcel number?
13//a Il
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
.92Z-7632
Mailing address City,state Zip
IN A NJ .ZZ/ 6
Who should we contact regarding this project? Phone
What work is being done under this permit? --q �L- Koo - HoT (�
Lone Inspector distract Property size Right of way width
y H
Water district
a 5)
� 0
Building Building height #of stories
1�
Contractor Dimensions TOTAL SQUARE FOOTAGE
—j 0 Lr D(cJ i rU 6 C� , 3 c
WA State Contractor license# Main floor area Un inished basement area
l� 7— 07a n
Mailing'a'dleesk 2nd floor area Finished basement area
, z-(9/ N.
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project? $2/ 9s
Manufactured Horne.... 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
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