1995, 05-01 Permit App: 95002821 Pool PROJECT NUMBER= 95002821 APPLICATION DATE= 05/01/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 15410 E 2ND AVE PARCEL#= 45231. 1110
ADDRESS= VERADALE WA 99037
PERMIT USE= SWIMMING POOL
PLAT#= 001752 PLAT NAME= NEWER SUB
BLOCK= 3 LOT= 3 ZONE= UR-3. 5 DIST#= F
AREA= F/A= F WIDTH= 75 DEPTH= 167 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= HOMER, JIM PHONE= 509 926 3515
STREET= 15410 E 2ND AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= MARV RICHTER PHONE NUMBER= 509 328 3054
BUILDING SETBACKS: FRONT= 60 LEFT= 7 RIGHT= 50 REAR= 10
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
HEALTHDIST SITE PLAN REVIEW CA - 'YV, (C11i4-Y1 '
COMMENTS:
***************************** SWIMMING POOL ******************************
CONTRACTOR= A-1 GENERAL CONTRACTORS INC PHONE= 509 328 3054
STREET= 6410 N MONROE ST
ADDRESS= SPOKANE WA 99208
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: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
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OWNE r OCCUPANT Phone
Mailing address City,state d p Zip
/(171/D
Who should we contact regarding thisproject? Vede 'LA lhJ,, ` gD17
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What work is being done under this permit?
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tone Inspector istrict 'Property size Right of way width
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m
m
Building height #of stories .
Bulldn .. ..........
Contractor.;;;:: .....................,....._.....................................................................
Dimensions TOTAL SQUARE FOOTAGE
,4- C9ekti,1 .� oillls<,/: r124 .
WA State Contractor license# Main floor area Unfinished basement area
66:J1/CT 0 9A p/
Mailing
((�,address 9QZC , 2nd floor area Finished basement area
lect/E A /11
Arc ngineer / Garage area Size of decks,etc.
What is the heat source? What is the cosoff our project?
Manufactured Hom Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent
Paint booth_ Fire Alarm _ Fireworks display _
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
Fifer Storag•e Tanks Swimming Pooi
(Circle one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
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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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments 0 Underground utilities
❑ Distances from center of roads, right of ways, 0 North arrow
private roads & property lines 0 Septic tanks & wells
O All existing & proposed buildings