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2002, 03-20 Permit App: 02001759 PoolProject Number: 02001759 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/20/2002 Project Information: Permit Use: SWIMMING POOL Setbacks: Front 110 Left: 20 Right: 50+ Rear: 20 Site Information: ........................................................................................ ........................................................................................ Plat Key: 003426 Name: GREENACRES ESTATES Contact: POOL WORLD INC. Address: 13524 E SPRAGUE AVE C - S - Z: SPOKANE, WA. 99216 Phone: (509) 928-6585 Group Name: Project Name: District: G Parcel Number: 55073.0210 Block: 9 SiteAddress: 17614 E MONTGOMERY AV SPOKANE, WA USA 00000 Location:: SPO Zoning: SR -1 Water District: Area: 13,530 Sq Ft Suburban Residential 1 Width: 110 Nbr of Bldgs: 1 Nbr of Dwellings: Review Information: Review Plan Review 1 Lot: Owner: Name: NEIL, BRIAN & ETTA Address: 17614 E MONTGOMERY AVE SPOKANE, WA 99206 Hold: ❑ Depth: 123 Right Of Way (ft): 60 Page 1 of 2 Releas et)02 Septic System Review Permits: Released By. 1;✓V " ' Contractor: POOL WORLD INC Address: PO BOX 14927 SPOKANE, WA 99214 Item Description GAS APPLIANCE >100,000BTU GAS PIPING PROCESSING FEE Mechanical Permit Firm: POOL WORLD INC Phone: (509) 928-6585 Units Unit Desc 1 NUMBER OF 1 # OF UNITS 1 Y OR BLANK Operator: DMD Printed By: DMD Permit Total Fees: Print Date: Fee Amount $15.00 $1.00 $25.00 $41.00 3/20/2002 Project Number: 02001759 Inv: 1 Application Date: 3/20/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: POOL WORLD INC Address: PO BOX 14927 SPOKANE, WA 99214 Item Description PRIVATE POOL STATE SURCHARGE COUNTY SURCHARGE Notes: Permit Type Mechanical Permit Swimming Pool Swimming Pool Firm: POOL WORLD INC Phone: (509) 928-6585 Units Unit Desc 1 Y OR BLANK 1 Y OR BLANK 1 Y OR BLANK Permit Total Fees: Fee Amount Invoice Amount $41.00 $41.00 $65.50 $65.50 Fee Amount $50.00 $4.50 $11.00 Amount Paid $0.00 $0.00 $65.50 Amount Owing $41.00 $65.50 $106.50 $106.50 $0.00 $106.50 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: DMD Printed By: DMD Print Date: 3/20/2002 a oP u9wdinb \\ AM:ESS PCAD SNI rii y This site plan is being submitted for thepurpose of obtaining a building permit and is a true and correct representation of the proposal. All known property Tines/dimensions, curb es. structures a.. easem tt A--1 L have been identified. k' o indicated ar .I ds, bodies of w steepjk.•/ s qt other cri c.I areas. Signed: �' �i� /� C S Date: 3 c fiat OL- kfc'T41 SD