1996, 09-04 Permit App 96007231 Re-RoofAPPLICATION INFORMATION
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What is the JOB SITE address? ,� �j
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ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
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OWNER or OCCUPANT Phone
Mailing address City state Zip
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Who 45oUid we contact regarding this project? Phone
What work is being done under this permit?
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Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.