1991, 04-05 Permit: 91001197 Pool SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
1 SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this.ermit/application and a• subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the pro •.'.nso .ny sta e or local law re.•latin.construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF ` n� )/�/I I DATE APPLICATION LL Gam/
OWNER OR AGENT / 7- i-r� / S
'3 • : : : . , 7 NUMBER=
MB R' 91001197 ,
� , PERMIT IT i 11 . 04/05/91 i . t
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SITE STREET= 15307 j.. 15TH AVE PARCEL4— 23544-3907
ADDRESS= VERADALE WA 99037 •
7 ,
i PERMIT UEE= SWIMMING POOL
Y
_, PLATO= 002565 PLAT NAME=1 SULLIVAN WAY ...
' BLOCK=k = 4LOT= tf+11J1••-.. f•,1 3 }::
'n• OF B, ,1 i,7,;•-• i .t' DWELLINGS=
t,a F�, ;i�:�.. ... .....� f
•.:,:,r:.R MAY
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CONTACT
ON 1 _ = KERRY -i" D t , ` f
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I BUILDING -SETBACKS : FRONT= 16 LEFT= 14 RIGHT= a
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CONTRACTOR= POOL WORLD D INC PHONE=
4 ADDRESS= SPOKANE WA 99216
`0 ITEM DESCRIPTION QUANTITY
FEE AMOUNT
f i i::. :':t.'1'°•.?,:;'1:•a;:.
i COUNTY SURCHARGE .
8 ,00
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. „� v ,:•::: 62,50
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PERMIT. TYPE AMOUNT INT :::M 1t,lNT PAID i:•,•?U1._;N..1
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I PRINTED -:•.:: JULIE ...H . ._
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SPECIAL CONDITION CHECKLIST
Project •
Address: ___.___,_____ — Project# —_
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp. Final Report—_
Hydrant( )
Lock Box
Engineer's — — _ RID/CRP — — — -- —
Easements
Road Plans/Improvements_
_. Bonds �— — — — — --
Planning—_ _ _ Bonds
Utilities__ -- Double Plumbing_ ---
ULID
Other____
*""""""""""`THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY""'*"""`*""""'"*""" '
Date received for C/O processing: _____ _.__ Plans pulled for final processing:
Temporary C/O issued:._ Certificate of Occupancy issued: --____—
Office file review by: _..___________________._ . . Date:
Filed insp finaled by: �— Date:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: _.__..__ —_ ____ ___ ._____._..._. Date:
Plans returned: ----_ -_--__-_— _-- . Received by: _ —__.__-----__ ----__-_-- ____________
No response from owner/contractor-plans destroyed:_._ _