1996, 03-14 Permit App 96001343 Remodelm
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
OWNER orCUPANT Phone
Mailing address C State
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Who should we contact regarding this project?
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What work is being done under this permit?
Zone
Inspector district
Propertysize
Right of way Width
Ater district
Building
Building height
# of stories
Contractor
.''T�s C.fou li � gird �e-s
Dimensions
TOTAL SQUARE FOOTAGE
A e ContPdoir ticarisai /
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Main floor area
Unfinished basement area
Mailing aaarens _
nfloor area
Finished basement area
Mchit/ ngmeer
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Garage area
Size of decks, etc.
What is the he source?
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What is the coat of your project?
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Manufactured Home
Sign
Width :
Length:
What is the square footage of
the sign face]
How high is the sign?
Year:
Make:
Installer
Contractor
Ws 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
JSwimming Pool
(Circle one) Aboveground Underground
Size / gallons
Private
Contents of tank(s) Size / gallons
Public/semi-private
Contractor
Contractor
a 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.
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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
0 All existing & proposed buildings
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LIN i GLORIA NELSON Architectural Consulting Services of
RpMIDINCE REMODEL 4123 South Conifer Ct. Spokane, wa seven
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