1996, 05-22 Permit App: 96003700 PoolPROJECT NUMBER= 96003700 APPLICATION DATE= 05/22/96 PAGE= 01
.
******
THIS IS NOT A PERMIT
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18615 E MISSION AVE PARCEL#= 55074.1667
ADDRESS= GREENACRES WA 99016
PERMIT USE= ABOVE -GROUND SWIMMING POOL
PLAT#= 002044 PLAT NAME= PLAT"A" GREENACRES IRR.DISTRIC
BLOCK= LOT= ZONE= SR -1 DIST#= G
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 140 R/W= 60
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= SCHELLEY, WILLIAM P & CAROL
STREET= 18615 E MISSION AVE
ADDRESS= GREENACRES WA 99016
PHONE= 509 926 3333
CONTACT NAME= PAUL SCHELLEY PHONE NUMBER= 509 926 3333
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= 5 REAR= 5
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
HEALTHDIST SITE PLAN REVIEW
COMMENTS:
ph Crril a, ".7/12,.nto
***************************** SWIMMING POOL ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
PRIVATE POOL Y 50.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 11.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
SWIMMING POOL 65.50 .00 65.50
65.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 65.50
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
Whahisthe JOB SITE address? ASSESSORS tax parcel number?
\
Legal description as it appears on the property deed
tAt. er~st /oo ft off' 7%c (,,lest 4i'9S,00cis' of foe sovi/, /Yo cid-
io
0c 42 /9ct '// /214 t .q GREE/v4c,e,ES _Zee/ 5a-71iaJet .0,6A
OWNER or OCCUPANT Phone
/%/,LAS P d- CA2s'G J 5c4e//es, 92G`3333
Mailing address City, state Zip
.E/(5'G/S /7915sio.v GReenAcne s Lc%a6 A. 790/6
Who should we contact regarding this project? Phone .
S,9/n,_ a bo QF
What work is being done under this permit?
Pv/71/2/6 -Zit) above ygovn cf Sw / sn si •"% PooL
Lone - - - -, .:..
Inspector dlstnct ',,, -
Property sure -. - .- -
Night of way width - - -
Water district '. ','
Building'';'''
-
Building height
#of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer -
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the eign7
Year:
Make:
Installer
Contractor
We State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety ; ,H.,,
Previous address
Fire Sprinkler Tent
_
Paint booth _ Fire Alarm _ Fireworks display _
VALUE
Contractor
Contractor
A State Contractor license #
'WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above -ground Underground
Size / gallons 9441'
/y000
Private
/i/om e PooL
Contents of tank(s)
Size / gallons /6. X 3 a ' 92OFE.�
Public/semi-private
Contractor Contractor
Wa State Contractor license # WA State Contractor license #
Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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