1995, 10-12 Permit App: 95008392 Reroof APPLICATION INFORMATION 95 —E 3 ef ---
1
What is the JOB SITE address? ASSESSOR'S tax parcel number? '
5 //S7.3 )a ur ,:,- 1,: Co .50
Legal description as it appears on the property deed
OWNER o CUPANT ) Phone
J -ev v'q ) ),9--1q a ) ?do) - o d 5--,A
Mailing address ( City,state Zip
Who should/we contact regarding this project? Phone
/ I e ,-)., /SP N 7-' 01 c,. D ,0 .S—
What work is being done under this permit?
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Gone Inspector district Property size Right of way width::
y N
Water district
a a
m a�
0
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
I ekicer c.--1c.--1f 6vcr 9 (.x /6,
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 a cost of your project?
B 9).3 0 0. o f
Manufactured Home n
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
RelocationFire 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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