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1996, 03-14 Permit App 96001343 Remodelm H 7 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 G �J �J �'i S c /t �l✓� tip `� %20C Who should we contact regarding this project? 2_3 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 / ,, s B G' D 0 co Main floor area Unfinished basement area Mailing aaarens _ nfloor area Finished basement area Mchit/ ngmeer .J irk" e4r 4 Sha Garage area Size of decks, etc. What is the he source? � What is the coat of your project? FJ 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. n d 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 mcr'%Tp-. W Ta I�I�'a°�PL �rvcl�r� fo +-4-2j, I 1 I J i 4L I -- ME 0 +46r wP G4Tt Er 60. LIN i GLORIA NELSON Architectural Consulting Services of RpMIDINCE REMODEL 4123 South Conifer Ct. Spokane, wa seven N