Loading...
1995, 02-23 Permit App 95000949 Reroofn d O i C' I APPLICATION INFORMATION What is the JOB SITE address? r ASSESSOR'S tax parcel number? r7 Legal description as it appears on the property deed U.� OWNER or OCCUPANT Phone 44me> Ask Mailing address City, state Zip Who shouldwe conte t regarding this project? Phone C3�� C. MrmEr q g What work is being done under this permit? ( p T rr- Cx� ' �e _ rC4 4 f�� Ga�� t r�n� Vzrc �t one Inspector district Propertysize fig o way width Water district Building Building height # of stories ContractorDimensions --.1 U C0 � g C r'6 IIx, 75 { f TOTAL SQUAREFOOTAGE A State Contractor license # O I+ D- 3 1 L- Main floor area U Unfinished basement area ai ing address C • 53 c, h 2nd floor area finished basement area Architect/Engineer Garage area Size of decks, etc. What is the heat source? hat is the cost of your project? D Manufactured Home Sign Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: Installer Contractor Wa State Contractor license # We 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 atldresa 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 a State Contractor license # A 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 programa or activities. Site Plan INCLUDE THE FOLLOWING ❑ All roadways, driveways & easments ❑ Underground utilities ❑ Distances from center of roads, right of ways, ❑ North arrow private roads & property lines ❑ Septic tanks & wells ❑ All existing & proposed buildings w