1986, 05-23 Permit App: 00011169 Pool(THIS IS NOTA -PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
Or'If1LJCL/ /11-1C/A0 /.11-1C rkin UCrfin 1 IVI CIV 1 NL
UAC
Project Number ` it / 4519
Owner's Name LAST FIRST MI
BURCHILL GARY A
Project Address (Street Name & Number) Zip
S. 3421 GILLIS, SPOKANE WA 99206
Applicant
IMPERIAL POOLS, INC.
Address
N. 5150 FREYA
City
SPOKANE
State
WA
Zip
99207
Phone
(509) 489-5674
Business Phone
( ) SAA
Contractor/Agent
IMPERIAL POOLS, INC.
Address
SAA
City
SAA
State
SAA
Zip
SAA
Phone
( ) SAA
Contact
Bobby Walsh
License Number (Required)
IMPERI*227PT
Business Phone
( ) SAA
Architect/Engineer
IMPERIAL POOLS, INC.
Address
SAA
City
SAA
State
SAA
Zip
SAA
Phone
( ) SAA
Contact
SAA
Business Phone
1 ( ) SAA
Lender
Address
City
State
Zip
Phone
( )
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SPOKANE. WA 912237
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