1995, 09-19 Permit App 95007452 Re-RoofAPPLICATION INFORMATION
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What is the JOB SITE address?
6i9 77- °ice(
Legal description as it appetrs on the property deed
ASSESSOR'S tax parcel number?
1Lf/ l/76�QL
OWNER or OCCUPANT
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Mailing address
Phone
V—X3Jr
City, state
C7 %, c?6
Zip
Who should we contact regarding this project?
Phone
3.7_6 —606'
What work is being done under4his permit?
Building height
# of stories
Contractor
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WA State Contractor license #
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Dimensions
Main floor area
Mailing address
/67/f &) /129/zc She&c--ne
Garage area
Architect/Engineer
2nd floor area
TOTAL SQUARE FOOTAGE
Unfinished basement area
Finished basement area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
/J j 4-
Manufactured Home
Width:
Length:
Sign
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 r
Previous address
Fire Safety
Fire Sprinkler _
Tent
Paint booth Fire Alarm _ Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
ruei Storage Tanks
(Circle one) Above -ground
Underground
Contents of tank(s)
Contractor
Size / gallons
Swimming Pool
Size / gallons
Private
Contractor
Public/semi-private
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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