1995, 07-07 Permit App: 95005056 Reroof r �
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Nd/7 G— C23 VP ir-ala to Gr/i4, ?9037 `/_h'7 / 90�^
Legal description as it appears on the property deed
OWNER orr/OCCUPANT Phone
ailing address A ' bA j f City,state 907 7e( � Zip
54_14,e.
Who should we contact regarding this project? Phone
�%t4. lc- Darr /e ��6- 7M)
What work is being/done under this permit?
Lone Inspector district Property:size Right iaf waywidth
ai
m
H
Water district
a+
Q
a)
BuildinX ones
Building height #of stories
aptro
Contractor Dimensions / TOTAL SQUARE FOOTAGE
gpprcx 30 xso /700 cyop iry x
WA State Contractor license# Main floor area Unfinished basement area
ap,A117( ?d0
Mailing address 2nd floor area Finished basement area
Cff) L 700
Architect/Engineer Garage area Size of decks,etc.
What is ththeat source? Vat is the coat of your project?
l� ('If a i' L' lQL >Y--/,963,0 4/prei
Manufactured Home Sign
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 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.