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2003, 07-30 Permit: BLD-03-02099 Pool*Wane jMtlley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: SWIMMING POOL PERMIT 14219 E SUNNYSIDE DR VERADALE WA 99037-9449 IN GROUND SWIMMING POOL WITH GAS HEATER & 1 PIPING CHAMBERLIN, R & A POOL WORLD INC PO BOX 14927 SPOKANE, WA 99214-0927 POOL WORLD INC PO BOX 14927 SPOKANE WA 99214-0927 Lot: Permit #: Applied: Issued: Expires: Blk: Parcel No: 45262.2902 Phone: (509) 928-6585 Phone: Lic No: General Information: GAS PIPING (ea. OUTLET) FUEL BURNING APPL >100,000 1 1 Disclaimer: (509) 928-6585 POOLWI*241 CP Fees: BASIC PERMIT FEE WSBCC SURCHARGE FUEL BURNING APPL > 100,000 GAS PIPING Total Calculated: Deposits/Receipts: Total Due: BLD -03-02099 Zoning: 07/30/2003 07/30/2003 01/26/2004 50.00 4.50 19.00 1.00 74.50 0.00 74.50 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 in compliance. Subsequent issuance of a permit shall not be construed 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. Ownership of resulting development rights granted by any issued permit inure to the property owner. 7-3-O3 Applicant Please print name here Date Counter Approval