1996, 04-08 Permit App 96002204 Re-RoofAPPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
CO
C
d
m
0
S. q3(co ra,t±s CA --
Legal description as it appears on the property deed
Who should we contactregarding thisproject?
OWNER or OCCUPANT
D0.U(C� �C.AA,IMe atoQ
Mailingaddress
City, state
0
Phone
91Z 02_5 —I
What work is beii done under this permit? m opt 5,� 0 f ( G1
l e c V � � C 1^ DF� 36, 00
Phone
R22-3533
Zip
Q22oL
A.3 Wln e-4-4
Building
..................:.......
............................
Contractor
LC) Ise Yl'l�_�-e, 4,
WA State Contractor license #
f,u.l _s LIN l Z 12 K &)
Mar lng address Lc14 qq
Jr Zgr ?0vcc�H4 Dk �ok��,t
Architect/ ngmeer
Building height
Dimensions
Main floor area
2nd floor area
Garage area
# of stories
TOTAL SQUARE FOOTAGE
Unfinished basement area
Finished basement area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
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 #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
1
Fuel Storage Tanks
w)mmmg rco)
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Col Rra'.tor
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.
M
Q
m
0
Site Plan
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
0 All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells