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1995, 04-21 Permit App: 95002563 Addition APPLICATION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? f 3 32t e 13f s Legal description as it appears on the property deed OWNER or OCCUPANT Phone • Mailing address .City,state Zip 133atF. t3 ' a .1( ucc, Who should we contact regarding this project? Phone Ph, 4- e (L.,i 9 ( c ,2_ What work is being done under this permit? Lone . >> Inspector district:> Proptry esize.. ; ::.: ttigtn or way r.T... .: o . . C) )Fflater dist[iCt N D ......................... Building Building r, #ofsto height stories Contractor Dimensions TOTAL SQUARE FOOTAGE c V1Axi- C 1'r t'L Y Li 3 y 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 c 9 "'el-, o ZONE: L f, _ 199:0 9pFp F,oyFs c .) ) ROADVtiDTH: ;o FRONT: („ FLAv,<ING: F9,3- /c�� css99 F4 COMMENTS: 1 ,________---L41/1 i i REVIEWED BY`- y l _ , J 1 4 Ar f )- i .) Jv 3 r a i - - ) i , A t IA 11111. I1 ti