1996, 07-09 Permit App 96005285 Re-RoofAPPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
—10,— Jg -�j,C--1�� / Z7— %
Mailing address City, state Zip
/7_._7 -../)A1/9/I c___-5-X2A) /LJ,79
Who should we contact regarding, projet? Phone
(- At:-__� LW
I 9zz- 9 :_&�
What work is being done under this permit?
- F- - - -/ C : -' /k2_
Lone
Inspector district
Property size
Right of way width
Water district
Building
Building height
# of stories
77
Contractor
i I�/`�,
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage 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 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
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
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.