2000, 10-05 Permit App 00009092 MH( 66
APPLICATION INFORMATION
What is the JO SITE address?
SSESSO tax parcel number?
Legal description as it appears on the property de
OWNED- mOCCUP.NT
Maiiina address
qz Mddc—
Who s :�f r. we contact regarding this proj t?
Phone
/— ' - q -.S.--e3 3
City ate
7f/7
What rk is being d net der this permit?
t
t/kn'ittt,/
1-'111(f f(i,-(iftei
Phone
q
Zip
Inspector district.
Water district
Contractor
WA State Contractor license #
Building height
# of stories
Dimensions
TOTAL SQUARE FOOTAGE
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Whet is the heat source?
Garage area
Size of decks, etc.
What is the cost of your project?
Manufactured Home
Sign
Width:
/ A.
Year:
Length:
Make:
Installer
What is the square footage of
the sign face?
How high is the sign?
We State Contractor license #j/s • 0223
Malin address 4/1
contractor
Wa State Contractor license #
Mailing address
a
v
Relocation
Previous address
Contractor
WA State Contractor license #
Mailing address
Fire Safety
Fire Sprinkler _
Paint booth — Fire Alarm _
Tent
Fireworks display _
,VALUE
ontractor
WA State Contractor license #
Mailing address
Fuel Storage Tanks
'Swiminin
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Contractor
Size / gallons
Contractor
Private
Public/semi-private
Wa State Contractor license #
NA 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,