1995, 03-14 Permit App 95001403 Garage AdditionAPPLICATION INFORMATION
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What is the JOB SITE addrees?
At I I INE s go.).
iLeg descrip ious it appears on the property�?deed
Lot- 'A
ASSESSOR'S tax parcel number?
OWNER or OCCUPANT
Mailing ad ress
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Phone
City, state? 4A,vt� k1A
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Who should we conta rega ing this projec
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Whatrk is being done under this permit?
Lone y Inspector district
Zip
990/ 44,
Right of way width
Building
ContractorA/»
�A/ ZX4/14.57Z4Z1,/./j/Y
WA Stat ontractor license #
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Mailing address/
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ArchitecVEEnggiieer
DNA -
What is the heet source?
Building height
Dimensions
# of stories
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Main flooy area
fl/ NE
2nd floor area
Ga a area
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What is ?y
�e cost of your project?
/ /(20, o0
TOTAL SQUARE FOOTAGE
Ire0 Sf
Unfinish basement area
Finished basement area
%1/DF
Siie of decks, etc.
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
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
IFuel`Storage Tanks
'(Circle one) Above -ground Underground
Size / gallons
Contents of tank(s)
Phone
9�L.-5i 3/
Swimming Pool
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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DEPARTMENT OF LABOR AND INDUSTRIES - B&CSIS CRIS>PROD
CONTRACTOR INFORMATION INQUIRY
LICENSE NUMBER
CONTRACTOR NAME
PARENT COMPANY
SEARCH NAME
ADDRESS LINE 1
ADDRESS LINE 2
CITY, STATE, ZIP
TELEPHONE
EFFECTIVE DATE
EXPIRATION DATE
SUSPENDED DATE
BIRTH DATE
OPTION :
TONYPC*137DH . STATUS
CONTRACTOR TYPE
TONY PALMER CONSTRUCTION
TONY PALMER CON
E 11910 19TH
SPOKANE
(509) 922-1729
03 87
08/96
00/00/00
00/00/00
00
WA 99206
ACTIVE
CONST CONT
COUNTY SPOKANE
BUSINESS TYPE
GRANDFATHER CODE
SPECIALTY CODE 1
SPECIALTY CODE 2
INDIVIDUAL
N/A
GENERAL
UNUSED
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