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1996, 05-13 Permit App: 96003336 Reroof APPL1CTION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? (� 70 £ ,qvc <5,0e/4.0 1..41/9 992/2 Legal description as it appears on the property deed OWNER EH36431c/PANT Phone S TE/°h/fit) G. ti1.4k92 2 ci -S86 Mailing address City,state Zip Who should we contact regarding this project? Phone .5/9/He What work is being done under this permit? Lore . Inspectoroperty s¢e K[ght of way width. > .......' N a) a a a� m B,uildin� < Building height #of stories Contractor Dimensions TOTAL SQUARE FOOTAGE ©w/t)e 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? (a DO Manufactured Home Sian 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 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.