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1993, 09-03 Permit App: 93007924 PoolPROJECT NUMBER= 93007924 APPLICATION DATE= 09/03/93 PAGE= 01 ****** THIS IS NOT A PERMIT .,****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 218 N MAMER RD PARCEL#= 45154.4103 ADDRESS= SPOKANE WA 99216 PERMIT USE= SWIMMING POOL PLAT#= 001207 BLOCK= 3 AREA= 00000000 # OF BLDGS= 1 PLAT NAME= HIGHVIEW ACRES ADD LOT= 2 ZONE= UR3.5 DIST#= F F/A= F WIDTH= 80 DEPTH= 136 R/W= 60 DWELLINGS= 1 WATER DIST = OWNER= WOODGERD, MARK & GINA STREET= 218 N MAMER RD ADDRESS= SPOKANE WA 99216 PHONE= 509 922 4413 CONTACT NAME= MARK WOODGERD PHONE NUMBER= 509 922 4413 BUILDING SETBACKS: FRONT= 90 LEFT= 14 RIGHT= 60 REAR= 34 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT HEALTHDIST SITE PLAN REVIEW COMMENTS: ******************************* BUILDING PERMIT ******************************* CONTRACTOR= OWNER NEW= X DWELL UNITS= BLDG W X D = REQ PARKING= REMODEL= 1 OCCUP. LD= 30 X 10 SQ FT= #HANDICAP= DESCRIPTION GROUP DECK R-3 ITEM DESCRIPTION PHONE= ADDITION= CHANGE OF USE= BLDG HGT= STORIES= 324 SPRINKLER= N CRITICAL MAT= N TYPE SQ FT VALUATION VN 324 1620.00 RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE QUANTITY FEE AMOUNT Y Y Y ***************************** SWIMMING POOL CONTRACTOR= OWNER 39.00 4.50 7.02 ****************************** PHONE= PROJECT NUMBER= 93007924 APPLICATION DATE= 09/03/93 PAGE= 02 ITEM DESCRIPTION QUANTITY FEE AMOUNT PRIVATE POOL STATE SURCHARGE PERMIT TYPE Y 50.00 Y 4.50 FEE AMOUNT AMOUNT PAID AMOUNT OWING BUILDING PERMIT 50.52 .00 50.52 SWIMMING POOL 54.50 .00 54.50 105.02 PROCESSED BY: DAWN DOMPIER PRINTED BY: DAWN DOMPIER .00 105.02 ******************************** THANK YOU ************************************ APPLICATION WORKSHEET General Information 1 (k Job address 1 0 ' Parcel numticr Owner Mailing ad rens 1 ltd l ),i • �'� y �v City Phone J ) _ Site Information Legal Descnption Property size Water Dalnct Number 01: IJwellings 1 Buildings 1 • Project Information Permit Use p 7) Budding height New Ad Ilton Remodel Change otuse I (4_ L0L,e 61v t--+,c� J a.,.,. 7'� (J?c k Furnace etuoency -% total window area of Moor area Building Information Dwelling units Occupant Load Budding height Stones Building dimensions Total square tootage Req'dparlbng Handicap parking Spnnkler system CnticalMaternl SQuare rootage breakdown Main floor Uncovered /covered deck Second Iloor Other 1 c) 14 tic2x) Finished basement Floor Unfinished basement Door (u—value) Garage Furnace etuoency -% Contractor Information Hating and insulation information (R—values) t Heatsourze Hat ceding Vaulted ceiling Above grade watt Below grade wall Floor Slab on grade Door (u—value) Window Furnace etuoency -% total window area of Moor area Building contractor Plumbing contractor License number Phone License number Phone Mailing address Mailing address City, sta te, zip "City, sta te, zip Heating contractor Other/ Lender License number Phone -License number Phone Mailing address Malting address City, slate, zip City, state, zip PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 o 7 2 t iwk a u,.e 3- Zc0.