1995, 05-11 Permit App 95003193 Re-RoofAPPLICATION INFORMATION
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What is the JOB SITE address?
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Legal description as it appears on the property deed
ASSESSOR'S tax parcel number?
OWNER or OCCUPANT Phone
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City, state
Mailing address
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Who should we contact regarding this project?
Phone
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Zip
What work is being done under this permit?
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Contractor
WA State Corrr license #
Building height
Dimensions
Main floor area
# of stories
TOTAL SQUARE FOOTAGE
/2 ao
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 iH
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
................................ .
Previous address
Fire'Safety-:
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
.........................................................
Fuel Storage Tanks
Swlrnming Pool'
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
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.
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