1991, 06-03 Permit: 91003041 Pool, Heater SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
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 permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancelth- ;ovisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF A/ / APPLICATION / /3/cr
OWNER OR AGENT . DATE
P,••,.-: ::,..,..... NUMBER= 9100304 ISSUED PERMIT M I }A PAGE= 01
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SITE! i::. >.4j I"',:...,... ? _•• 3 I ..?0.? :... 20TH AVE ........I...yi:.. .......... .. ..
;•y 17 J?!•.1.-.SS= t.:i(!,ANE ;{..t .}r,:•:::
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PLAT4= 999999 PLAT NAME= RANGE
UR
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} _ ^ B s^ rDWELLINGS= ; .
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OWNER= ROMERO . RAY PHONE-
ADDRESS=.. Si OK ANi::. WA 99206
CONTACT
rNTA,T NAME= . PHONE NUMBER=
509
BUILDING
, tN _ S ,Yr , ; j ; : FRONT= NA LEFT= Y" ;• ;{ 3: 40 : ,: NA
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CONTRACTOR= f�'i`v =..L...i. f'� POOLS PHONE=S'�`::. ... .. ..-:..... '"i.
ADDRESS= •.,i.1 i._!'t 1::.I- ? WA 99005..
ITEM DESCRIPTION - QUANTITY AMOUNT
GAS HTG ,.!}ij,l' 1 }j.} }'.ri B,i I 12 ,00
GAS PIPING
1 .00
1 ::..:l.:n .: : ,p , 7 *3 ;; :L 3 *a : c *;****r•. ; SWIMMING L **:k***************************
CONTRACTOR
PAVILLION POOLS PHONE= 509 27S 4775
STREET- 4902 IT, SILVER PINE RD
, ADDRESS= COLBERT WA 99005
:,.. ..� 'i j;:'..0 ,.. ;.. PEE AMOUNT
ITEM
50.00
STATE SURCHARGE 4 50
COUNTY SURCHARGE
.......... .......... .. ..............:t*.::,:,;.:ta::.:.**:.:, ::.*:}: :.i''•.�r';! -b ********************4;:*******:*
:ni •!*:}}:"`:;t::L.T.•.7L•:LJL'A!:'7:.J.,.J!..J...JL.L 7�.r::•.J-.:L:,:,!,:•.:.F,!•..L j•`r. : .::.S�. Y ,:,;i,.I.. . . .
PAYMENT DATE RECEIPT0 PAYmENT AMOUNT
06/07/91 7397 75,50
DUE=
TOTAL. 00 TOTAL PAID= 75 ,50-
HERMIT TYPE FEE AMO
.. ..50-
,.:,...: '. Jt AMOUNT A::"'} Fay^ ;E.,;N.'i i;: i;:i':i`•ii,
mFo
ANICAL PRMT 13.00 .00
_ i'::_ ,_:.-.,.5 C.. ,00
- PROCESSED BY : JOHN LARON
PRINTED BY : jULIE SHATTO
.. .... .. .. ......, .. ... .,...... ., .. . THANK ,, .. r. .... ....:.rL,.r.:... r,,. ..r-,Jt :.:. J,,!,h J.7, .,J-J,:.
SPECIAL CONDITION CHECKLIST
•
Project
Address: Project#__ Use:
Dept: Date: Condition: 'nit: 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 C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: -- . Received by:_ __
No response from owner/contractor-plans destroyed: