1995, 04-21 Permit App: 95002563 Addition APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
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Mailing address .City,state Zip
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Who should we contact regarding this project? Phone
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What work is being done under this permit?
Lone . >> Inspector district:> Proptry
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Building Building r, #ofsto
height
stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
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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 the cost of your project?
anufactured
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 F(•re Safety .
Previous address Fire Sprinkler _ Tent
Paint booth_Fire Alarm _ Fireworks display _
VALUE •
Contractor Contractor
IWA State Contractor license# A State Contractor license#
Mailing address (Mailing address
Fuel Storage Tanks Swimming Porol
(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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