1996, 04-17 Permit App: 96002527 PoolAPPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
E /y272 / 7 7?/
Legal description as it appears on the property deed
OWNER or OCCUPANT
J4'2,LE/i
Phone
Mailing address
/7: /777/
Who should we contact regarding this project?
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City, state
Phone
Zip
99" �7
What work is being done under this permit?
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Property size
Water district
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
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?
IManufactured Home
Width:
ear:
Sign
Length:
What is the square footage of
the sign face?
How high is the sign?
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license
Mailing address
Mailing address
Relocation
Fire. Safety
Previous address
Fire Sprinkler _
Paint booth Fire Alarm
Tent
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
Contents of tank(s)
Size / gallons
Size / gallons
ODG) 9a/.
�rivate _'
/Sx36
Public7setni-private
Contractor
Contractor
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Wa State Contractor license #
WA State Contractor license # n,,aV/G / L p 4/V S
Mailing address
Mailing address
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/S—C Z V G, 77-6E- _5"-,,c7/e-41----4ee
S"o/<.6s.JE- . t-'4 99 Za8
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.
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