1996, 06-27 Permit App: 96004858 Pool, Heater, Piping APPL1'CATION INFORMATION
%Khat is the JOB SITE address? ASSESSOR'S tax parcel number?
/ZoZZ E- ZZ N4
Legal description as it appears on the property deed
45 .)V' /, L7 134
OWNER or OCCUPANT Phone
—
Mailing address City,state Zip
-2.z� /���L !`✓� �20(0/
Who should we contact regarding this project? Phone
What work is being done under this permit?
L Co� S 7-70 vc oma/ ��S �✓�2i<
Lone A inspector district Property sue tight of way width
N
Water district
Building •• 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?
Mfactured Honit
Sign
Ma nu
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 e;•� #
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons 7O ' 9a
Public/semi-private
Contractor Contractor
r�l////On/ /% t 5 G G
Wa State Contractor license# WA State Contractor license# VJL�L O ,7/ 6s_
Mailing address Mailing address / ^
99z 8.
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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Site Plan
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