2004, 05-12 Permit: BLD-04-04338 Pool05/12/2004 13:25 5093241567
IHT 1d 4&14 14:21 FK
Sifelkane
e'Zlllcy
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 9425 E HOLMAN RD
SPOKANE WA 99206.9248
Description: INGROUND SWIMMING POOL
Subdivision:
Owner:
Applicant:
Address:
Contractor.
Address:
DREW & GLORIA ADAMS
PAVILION POOLS LLC
4210 E ROWAN AVE
SPOKANE, WA 99217
PAVILION POOLS LLC
PO BOX 8249
SPOKANE WA 99217
SRHD EHS
TO 324156?
SWIMMING POOL
Lot Blk: Parcel No:
PAGE 01
P.01'03
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #; BLD -04-04338
Phone: ($09)466.1995
Phone: (509) 466-1995
Lic No: PAVILPLOO4DS
Applied:
Issued:
Expires:
Zoning:
05112/2004
05112/2004
11/08/2004
General Information:
Fees:
BASIC PERMIT FEE
WSBCCIIURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
50.00
4,50
54.50
0.00
54.50
CIN' OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Building
Plarjning
Pubic Works
f.., Date.
THIS IS NOTA RECEIPT
MRY 12 2004 14:25
I
0
5093241567
vie (1'
PRGE.01
*Mime
.0Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address'
Contractor:
Address:
9425 E HOLMAN RD
SPOKANE WA 99206-9248
INGROUND SWIMMING POOL
DREN & GLORIA ADAMS
SWIMMING POOL PERMIT
Lot: Bik: Parcel No:
PAVILION POOLS LLC Phone: (509) 466-1995
4210 E ROWAN AVE
SPOKANE, WA 99217
PAVILION POOLS LLC
PO BOX 6249
SPOKANE WA 99217
Phone:
Lic No:
(509) 466-1995
PAVILPLOO4DS
Permit #:
Applied:
Issued:
Expires:
BLD -04-04338
Zoning:
05/12/2004
05/12/2004
11/08/2004
General Information:
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
50.00
4.50
54.50
54.50
0.00
Disclaimer:
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of
Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances.
nershjp_of resulting development rights granted by any issued permit inure to the property owner.
QUA� A Z -Q
Print Name \� / Signature
Staff Initials
THIS IS NOT A RECEIPT
or)1z.Ic�i
Date
Sp®kanG� es*tt„,
asoolgValley
11707 E. Sprague Ave , Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address•
9425 E HOLMAN RD
SPOKANE WA 99206-9248
INGROUND SWIMMING POOL
DREN & GLORIA ADAMS
PAVILION POOLS LLC
4210 E ROWAN AVE
SPOKANE, WA 99217
PAVILION POOLS LLC
PO BOX 6249
SPOKANE WA 99217
SWIMMING POOL
Lot: BIk:
Parcel No:
THIS IS NOT A PERMIT
Penalties will be assessed for
commencing work without a permit
Application #: BLD -04-04338
Phone: (509) 466-1995
Phone:
Lic No:
(509)466-1995
PAVILPLOO4DS
Applied:
Issued:
Expires:
Zoning:
05/12/2004
05/12/2004
11/08/2004
General Information:
Fees:
BASIC PERMIT FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
50.00
4.50
54.50
0.00
54.50
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
THIS IS NOT A RECEIPT