1995, 08-31 Permit App 95006905 Re-RoofAPPLICATION INFORMATION
(7_ What is the JOB SITE address? 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 c ° Phone
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City, state
Mailing address
Who should we contact regarding this project? Phone
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What work is being done under this permit? d
Building height
# of stories
Zip
Contractor
7k� R729 6/o
WA State Contractor liceniae #
Mailing address
Dimensions
Main floor area
TOTAL SQUARE FOOTAGE
Unfinished basement area
Architect/Engineer
2nd floor area
Finished basement area
Garage area
Size of decks, etc.
What is the heat source/
What is the cost of your project?
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
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
Fuel Storage Tanks;:
(Circle one) Above -ground Underground
Contents of tank(s)
Contractor
Size / gallons
wimming
Size / gallons
Pool
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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