1993, 07-09 Permit App: 93005638 PoolPROJECT NUMBER= 93005638 APPLICATION DATE= 07/09/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
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SITE STREET= 3414 N CENTER RD PARCEL#= 45063.3407
ADDRESS= SPOKANE WA 99212
PERMIT USE= SWIMMING POOL
PLAT#= 001865 PLAT NAME= ORCHARD AVENUE ADD(TR.1-228)
BLOCK= LOT= ZONE= UR -3.5 DIST#= E
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= GOMER, JANET
STREET= 3414 N CENTER RD
ADDRESS= SPOKANE WA 99212
PHONE= 509 928 4124
CONTACT NAME= KERRY HENDERSON PHONE NUMBER= 509 928 6585
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
------------------------------------------------------------------------
HEALTHDIST SITE PLAN REVIEW 71V
COMMENTS:
***************************** SWIMMING POOL ******************************
CONTRACTOR= POOL WORLD INC PHONE= 509 928 6585
STREET= 13524 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PRIVATE POOL Y 50.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 9.00
PERMIT TYPE
---------------
SWIMMING POOL
FEE AMOUNT
-------------
63.50
-------------
63.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
AMOUNT PAID
------------
.00
------------
.00
AMOUNT OWING
-------------
63.50
-------------
63.50
******************************** THANK YOU ************************************
i
Spokane Counly
. DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION
INFORMATION WORKSHEET
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BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: • F/A: WIDTH: DEPTH: R/W:
OF BUILDINGS: #.OF DWELLINGS:. WATER DISTRICT:
OWNER: PHONE:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: PHONE :�()
SETBACKS: - FRONT: 7f7 LEFT: S RIGHT: �/ REAR: /ice
PERMIT USE: l6 32— ` Q
BUILDING INFORMATION
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CONTRACTOR Oi 1 1:E1 • `•�
MAILING ADDRESS
PHONE: S�� - ��1 . �jjlWS
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW:. REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSiO'NS: X .(WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: if HANDICAP: SPR.INKLERED: CRITICAL MATERIAL:
JOB STREET ADDR
CITY/STAT IP:4
.OWNER:
MAILING.ARESS
CONTRACTOR
xr -MAILING ADDRESS
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MECHANICAL PERMIT APPLICATION FORM
Information Worksheet
PARCEL"NUMBER:
PHONE NUMBER:
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X EACH
UNIT
=AMOUNT
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x 12.00
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x 20.00 =
x 25.00 =
x 35.00 =
x 60.00 _
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x 25.00 =
x 35.00 _
x 60.00 =
`x 10.00 =.
,x 10.00 =:
x50.00 =
x 10.00 =
x 10.00 =
A 10.00 =
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x 50.00
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