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1993, 11-09 Permit App 93010924 Reroofm n Q�� i5vu, APPLICATION WORKSHEET General I nformatio n Site Information �Projectlnformation., ��) 101* -g© `66 El �clling unlit upanl oa U -M mg li;ielgbt er Finutied basement torles wmg imenswlu o a square oolage eq par ng n rap Par B P--". ys em n ra a eru (ooh . brcakdowa MDuare .m ner moVere coVere ec 5econdTr.-r er Finutied basement oor Unfinshed basement r u—va ue arage urmce a leeory Contractor Information Heating and iosolatlon informutios R—values eatwuree celmg au a u ng ove gra ewa ow gn a wa oor on gn e r u—va ue In ow urmce a leeory oh w OW arca -Mmmmmmm� o oorama mi mg coo a or um 11ug coo or I oSe number one Mense nUM of ene — a mga / ,/N� umga ress Ity. stale, zip ' I ho IIY. stale, ztp Heatmgcootraetor Other Len er one Icensenum r one Kenwnum r almga rcss u mga rens nY, shte, zlp ny, Siate, zlp Spokane county ulVlslon of outaulllua, 1 1026 West Broadway Ave ` Spokane, Wa 99260 " (509) 456-3675 11/09/93 15:39 BCSIS CONTRACTOR + 83417375094564703 NO.481 D01 DowunentofLabor&tndusoicx REGISi'RATION VERIFICATION Contractm Regixiratital SeWon f PO Bua 44450 y5 & Ll 769 3 (2U6)956A726 Olympia WA 4AMM-4450 SCAN 269-5226 FAX (206) 956.5228 l� To Pmna -c;J/t- Olympia -�' Olympiaa Headqumicancrx .. _...... _.... _.... 8 fl .._....._.,..._..... RnBittreliuu number� � 7. 9 r�! Cuulrartor: Your Certificate of Registration will be sent from the Olympia office and should be received within 2 to 3 weeks. Please keep this record until you roceivc your Certiiicaieof Rcgistratlon. 71>at* you P625 0364" re8ixmujmn • Mcad m 4 93