1996, 05-20 Permit App 96003582 Re-RoofAPPLICATION INFORMATION
'What is the JOB SITE address? ASSESSOR'S tax parcel number?
/d6 tt . Jerre// v S 1 O
Legal description as it appears on the property deed ,
OWNER or OCCUPANT Phone
/// Dw/X'� S
Mailing address City, state Zip
/ a GO G - i'7.e' // Srq.)�a . .(/i'4/ % 9 o
Who should we contact regarding this project? Phone
//// tip- j-.? — 73 ?o
What work is being done under this permit?
/1 /^oo:71-
Lone
Inspector district
Property size
Right of way width
Water district
Building
Building height
# of stories
Contractor
/Nl / 60(17-u- CO,
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
//r,e,� /Cr=ko �G OT
Main floor area
Unfinished basement area
Mailing address
,2?Cg /C. had& /q,
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is t eoo o14/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 J
Previous address
Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
VALUE
Contractor
Contractor
State Contractor license #
WA State Contractor license #
ailing address
rA
Mailing address I
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
ATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.