2004, 09-08 Permit: BLD-04-07590 Pool, Heater, Piping fC[ti C&' +�
Spokane
� llE' r SWIMMING POOL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley, WA 99206 Permit#: BLD-04-07590
Job Address: 4015 S SUNDERLAND ST Applied: 09/08/2004
SPOKANE WA 99206 Issued: 09/08/2004
Description: 16 X 32 INGROUND SWIMMING POOL W/GAS HEATER&PIPING Expires: 03/07/2005
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: MCKINLEY JR, I BLAKE&DANA J
Applicant: POOL WORLD INC Phone: (509)928-6585
Address: PO BOX 14927
SPOKANE,WA 99214-0927
Contractor: POOL WORLD INC Phone: (509)928-6585
Address: PO BOX 14927 Lic No: POOLW I"241 CP
SPOKANE WA 99214-0927
General Information: Fees:
GAS PIPING(ea.OUTLET) 1 BASIC PERMIT FEE 50.00
FUEL BURNING APPL>100,000 1 WSBCC SURCHARGE 4.50
FUEL BURNING APPL> 100,000 19.00
GAS PIPING 1.00
Total Calculated: 74.50
Deposits/Receipts: 74.50
Total Due: 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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
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Print Name Signatur Date
J
Staff Initials
THIS IS NOT A RECEIPT
• • THIS IS NOT A PERMIT
• CIT �kerne Penalties will be assessed for
po arie commencing work without a permit
�,,,r• �ley SWIMMING POOL
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-07590
Job Address: 4015 S SUNDERLAND ST Applied: 09/08/2004
SPOKANE WA 99206 Issued: 09/08/2004
Description: 16 X 32 INGROUND SWIMMING POOL W/GAS HEATER&PIPING Expires: 03/07/2005
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: MCKINLEY JR, I BLAKE&DANA J
Applicant: POOL WORLD INC Phone: (509)928-6585
Address: PO BOX 14927
SPOKANE,WA 99214-0927
Contractor: POOL WORLD INC Phone: (509)928-6585
Address: PO BOX 14927 Lic No: POOLWI*241CP
SPOKANE WA 99214-0927
General Information: Fees:
GAS PIPING(ea. OUTLET) 1 BASIC PERMIT FEE 50.00
FUEL BURNING APPL>100,000 1 WSBCC SURCHARGE 4.50
FUEL BURNING APPL> 100,000 19.00
GAS PIPING 1.00
Total Calculated: 74.50
Deposits/Receipts: 0.00
Total Due: 74.50
CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
Initials/ Date
Building - L����4
Pla ning C:14
lat tii(lq I
THIS IS NOT A RECEIPT
09/15/2004 08:56 5093241567 SRHD EHS PAGE 01
, . SEP 08 2rdO4 15:44 FR TO 3241567 P.02/03
i . II
THIS IS NOT A PERMIT
Penalties will be assessed for
A
an '�.
- r1;. , lir commencing work without a permit
SWIMMING POOL
11707 E.Sprague Ave..i Suite 106 ApplicationBLD-04-07B9Q
Spokane Valley,WA 99206
.Applied: D9/08/20D4
Job Address: 4015 S SUNDERLAND ST ApplieIssued: 09/08/2004
SPOKANE WA 99208 � D3i07/2005
Description: 16 X 34 INGROUND SWIMMING POOL IN/GAS HEATER&PINING Expires:
Subdivision: Lot: Bik: Parcel No; Zoning:
Owner: MCKINILEY JR,I BLAKE&DANA J
Applicant: POOL)NORLD INC Phone: I ' (509)928-6585
Address; PO BOX 14027
SPOKANE.WA 99214-0927
Contractor: POOL ORLD INC Phone: (609)928-6585
Address: PO Bt; C 14927 tic No: POOLW I'241 CP
SPOKANE WA 99214-0927
I I I
' I
General Information: Fees:
GAS PIPING(ea.OUTII:ET) 1 BASIC PERMIT FEE 50.00
FUEL BURNING APPLI>100.000 1 WSBCC OURCHARGE 4.50
FUEL BURNING APPL y 100,000 19.00
GAS PIPING 1.00
Total Calculated: 74.50
Deposits/Receipts: 0.00
Total IDue; 74.50
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'CITY OF`'POKANE ALLY
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SEP 15 2004 09:58 5093241567 PAGE.01