1990, 06-18 Permit App: 90002788 PoolSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have exami ned this permit/application, state that the information contained in it and submitted by me or my agent to compile said perm it/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
.r"r:C,i."u"[' NOMPER= O0O"
A 4 a
APPLICATION d:) *-)
SITE S I ii E:; Ei. h.::. 5i, ,. .r?E: E''t``t I"II L.E. CT
ADD E.i} ;*[:::: SPOi'4W _ WA 292o6
PERMIT .lI. 1 USE SWIMMING POOL.
PLATO= 00i743 PLAT NAME r•i '. C: rJ L.
iii... fJf:K=° ':i
[.. Ft ., 1"; f�:::. , to .[U!1'
.r.. ;:,... ....r DG i , ..
r. E, .
OLINEi.I:.. ROSS, i 6:t Eil'tP
THEE: B l:.Ri'J I"I ;1 L.I_ CT
CONT ;::Ic:.T' W,hjEi: _. I..ARR`( I'
I]t1.. 1LL_[)I; iJt:. LT L((; L,K.:.: r'ii['ii-.
- ' P) :i ;l 'ir) y: Vit') )l AA P If )r: ,l is ,t )t I`i P: 'A )l It ¢i ik dr )t
DEPARTMENT
.............................
ATE= r?l,^t • ; c't i - i-';`,C.F:- 6) i
r:l
P)E if ft )r §i"iE i)dtdP+i:.. hie ".r i.=s: d5,;
tCE.i..;;: _:: i:i.,8.r, ^i....;_+.j{;5
n....n....
DEPTH=
HONE i\i Mnr:r ::_ r::5/.'92E e�41:i6
r
I._E i-= NA R7i;ii.T,- ..,,:, REAR= FJr=l
hA FthL1,.'.I l bi INFORMATION AK******** .) ***AAA Rh:P ''AAAPAN
............
R tJTEW :,OMN N S
HI'=='li._THi)Tk'Y MEP AN i-'EV:I:E
.j1..44n`) dl'vri i=)'.`.' *;i. ')ri 1t' R 'lt•
CR(r17: TC1R OWNER
1)lii:ff:i:i:r'TICN
.li..ji..ui ii..LA'!i' AA
ERINWiE PC(:II..
ATE SURCHARGE
:'COUNTY SURCHARGE
PERMIT TYPE
SWIMMING POOL
i:: R i:; C: is
[1 :l: iii
.. W I. I`I IM [ N f.
FEE
1::I::. AMOUNT
.4:IE'IN L. ARSON
.Jf,II-Ii'J LAf'rSCON'
Ai::i-'re, It\lit, L i'. i.l rl i•i i'.t.Trr'..
RP, pelt iJNL RP, IT/U
... ... .. .. ... ... ... .. a.. .. .. .
"i li �..'l1.ji..j(.jt.:p:P..IE:I(.:l(..Y:.Y:R'P:'lt�g Pr'R"P:'Yt >l Jl'YlR1. A. ')t P. P.'P: ')t'
c: I -4 1J
QUANTIFY FEE Ai4fll_iNT
Y
(d l.i i..1t4T i'f:4 I..1
00
r, r':)
AMOUNT T OW,i,ril,
IF A'b; .)ii Ni'Pi'1' A hl L} in' ji' "@ i$'P''jf :)l" )f A' {N'ft''14' il' It ir' K''Il It 16'A' §+}'Pi l ., p.r i.l t .( t.11„ T: a )r 'P )r. p n; jt' ir` ir''ii"It"P' .li. P) $'i Yi P: 'i`i ii' 1l Ai -0t .ir..IP 1
Spokahef County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: , '6/c,7(] /` ,.f2hy t�✓c,cx�'
CITY/STATE/ZIP: pfecute Wak / 7c' do
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: 1 # OF DWELLINGS: ( WATER DISTRICT: da(ofej/V
OWNER: (,ZW1W1itO a PHONE: - %q - �p 47.'6'
MAILING ADDRESS: 5,,5-/->e) .E ,�jt,(t l
i:
CITY/STATE/ZIP:
CONTACT:
-Cif 41 /6.4,i.11 c7g7(7
SETBACKS: - FRONT:
PERMIT USE: 1/4„A,(,(, G e
***********************************************************************,*****
BUILDING INFORMATION
LEFT:
PHONE:
RIGHT: REAR:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: