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1993, 05-17 Permit App: 93003653 Pool T • • PROJECT NUMBER= 93003653 APPLICATION DATE= 05/17/93 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 1210 S TIMBERLANE DR PARCEL#= 45243. 0210 ADDRESS= VERADALE WA 99037 PERMIT USE= POOL PLAT#= 002316 PLAT NAME= ROTCHFORD ACRE TRACTS BLOCK= 2 LOT= 11 ZONE= UR-3. 5 DIST#= F AREA= F/A= F WIDTH= 150 DEPTH= 300 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA OWNER= FICHTNER, LEE PHONE= 509 924 9138 STREET= 1210 S TIMBERLANE DR ADDRESS= VERADALE WA 99037 CONTACT NAME= CUSTOM POOL & SPA PHONE NUMBER= 509 928 5279 BUILDING SETBACKS: FRONT= NA LEFT= 100+ RIGHT= 20 REAR= 100+ ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT Z2/(r/7 / S HEALTHDIST SITE PLAN REVIEW /157 COMMENTS: ***************************** SWIMMING POOL ****************************** CONTRACTOR= CUSTOM POOLS PHONE= 509 483 3815 STREET= P 0 BOX 6197 ADDRESS= SPOKANE WA 99207 ITEM DESCRIPTION QUANTITY FEE AMOUNT PRIVATE POOL Y 50 . 00 STATE SURCHARGE Y 4 . 50 COUNTY SURCHARGE Y 9. 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SWIMMING POOL 63. 50 . 00 63.50 63 . 50 . 00 63 .50 PROCESSED BY: BARRY HUSFLOEN PRINTED BY: BARRY HUSFLOEN ******************************** THANK YOU ************************************ ti .-,, APPLICATION WORKSHEET General Information ` L- r t / ,7c Job address Parcel number / z. / a . ,Q.oZ, 44,�-&-- L--5-2- ,0,O 2 /a ovner \ Phone Mailing address 5 2...2 r0 Ti�i-g,:' KI-,q /v.c CityState Zi / S PO �CRJ✓ w Al Site Information ` LegalD ription > / /o/ // ez/cam \ 0/cA �-0 Ari? QS Propert size Water District Numberot: Dwe1llings Buildings f 5a a(; 6 I Zone Inspector Road Width Project Information ` Permit Use New Addition Remodel Change of use 11 SA-I /121JN7 F00 / Building Information 1 Dwelling units Occupant load Building height Stones Building dimensions 1 otal square tootage Req'd parking Handicap parking Sprinkler system Cntical Material - Square footage breakdown Heating and insulation information (R—values) Ma m floor Uncovered/covered deck Heat source Second floor Other Plat ceiling Vaulted ceiling Above grade wall Finished basement Below grade wall Floor Slab on grade Unfinished basement Door(u—value) Window Furnace etlicency Garage Total window area %of floor area 1 Contractor Information` Building contractor Plumbing contractor CGvt S�bin, e a c/ Ai SQA 1-ZSi S"-77 License number Phone License number Phone UN iop/00 ��A Mailing address Mailing address 10,,,. Aad ) c/('/ y2. City,state,zip City,state,zip 3 Po• -cou - w A cr q-/e-,/ Heating contractor Other/Lender License number Phone License number Phone Mailing address Mailing address City,state,zip City,state,zip PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 /.50 ' , . y D PLAN APPROVED T BE KEPT tHE P ON�pNs HAVEBEENRE�IEwEDes MOB SITE ori___ -f.):-..:_:....-------_ L.07 /4_1534.i . 2 !_ , •f 4 cp6'5- - og /// ' -r 7 7 T \ , i . :0`.. o 0 I 1 . I I . I`15/ c ' I ( ( � � L L15p,16i 1 of r 5OAT - . .). .(i) I se 1-*1 11 <------(6— )' „ ,.....______i , • • 1 No 1/5E �A2,.VE U1 I • /4 1 1 l (1)91 / (11 0 V ,od 1 1 ---- Z , ic(\ < ,,c I -il I