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1994, 02-16 Permit App: 94001194 Pool PROJECT NUMBER= 94001194 APPLICATION DATE= 02/16/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 12107 E 21ST AVE PARCEL#= 45281 . 0606 ADDRESS= SPOKANE WA 99206 PERMIT USE= SWIMMING POOL PLAT#= 001222 PLAT NAME= HILLCREST ACRES 1ST ADD BLOCK= 6 LOT= 6 ZONE= UR-3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 50 # OF BLDGS= # DWELLINGS= 1 WATER DIST = OWNER= VLAHOVICH, MIKE PHONE= 509 924 6682 STREET= 12107 E 21ST AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= KIRT KRING PHONE NUMBER= 509 498 5674 BUILDING SETBACKS: FRONT= EXIS LEFT= 70 RIGHT= 21 REAR= 8 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT HEALTHDIST SITE PLAN REVIEW ( (11L/4/ 4/ 72z,L6' COMMENTS: ***************************** SWIMMING POOL ****************************** CONTRACTOR= MONARCH POOL & SPA SUPPLY PHONE= 509 489 5674 STREET= 3605 E CROWN ST 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: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN ******************************** THANK YOU ************************************ APPLICATION WORKSHEET J%" ((- General Information Job address Parcel number _, 1Z1a '7 1t, zi 5 �`— LI 28, ° Owner 9 Phone G� An j Xlg V //.-0 / c/71 % . Z Mailing ad r — /Z v/7 /z , 2/ 57 Crt .1)Q/l /11 Gl/4-_ State F/ 2, Zip Site Information ` Legal Description F-k(C.(,C.2eT P _ , I --.1 C---4,,,, iJR," Property size Water District Numberot: Dwellings Buildings M, . .::::.......... . .. Project Information ` tAiT I -" Permit Use , New Addition Remodel Change of use li / Y 35 5'iv//0,1/71,4/9• /‘z.--L y Building Information 1 Dwelling units Occupant load Building height Stones Building dimensions Total square footage Req'd parking Handicap parking Sprinkler system Critical Material Square footage breakdown Heating and insulation information (R—values) Mani floor Uncovered/covered deck Heat source Second floor Other Hat ceiling Vaulted ceiling Above grade wall Finished basement Below grade wall Floor Slab on grade Unfinished basement Door(u—value) Window Furnace etficency Garage Total window area %of floor area Contractor Information (M taEE.P, e gate Building ntra for lumbing contractor it< /41 Pdn&� License' mbe"r / Phone License number Phone Ito ©f-�J'.B L00 512 4/ Mailing a /� Mailing address �2 6'5 CAG/i(44/ Cit , te,zip , City,state,zip 5/D Kid '/ 2 /7 Heating contractor Other/Lender License number Phone License number Phone Mailing address Mailing address City,state,zip City,state,zip PROJEcDtc!K i crKi� l/1/4_,_ �— L1I�Y S C 1 Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 1 . . J' I IJ -___ ___- 17a 74 4 0 1 ( I A..!" ( 1 r ' .... , ‘Ao ...., 3 / -/- . ; 1,4 e 1 I Ito /141161 VZ,4 ki ov 1 c ki ' ,.... - i 5 1 2 107 /Z, 2. i 5 7--- ------2::, '.., i l' zoo 2.-4- 6.r2._. -------1 ( , ( .. IMPERIAL POOLS & SPAS 3605 E. Crown SPOKANE, WA 99207 ( (509) 489-5674 ... _ -—IM 1 - - ----- _, .... SPOKANE COUNTY HEALTH DISTRICT APPL.�� o J � ENVIRONMENTAL HEALTH DIVISION ` a and range and road) FINAL INSPECTION FOR SEWAGE SYSTEM AT plat or section, township, penic .2 -a 1 or equal) with a straight edge. Plan (numerical address or lot and block in Please fill out in heavy dark line (felt-tip position ion the prop- erty. Ptic tank, ondraoccurs the, is to includenyubyimmeasurementne of tactualure flocationlof 5ep its p drywIdentify by facilities, property lines''closest to drainfield, driveway, and road frontage. Septic tank access on-site,wellor other applicable) ,pe sewage on-site (when must be referenced to aknown fixed surface structure. NORTH r lk �1T' 0 e 07cp )L )9- ° 11111 itC‘AO(JSMI° 114 -hi g 2- 0 . c/ 2- ,_UU;ATIUN Ur '' u `„1 i; �t NAGE S1 TEM REPRESENTED SY THE DRAWING YiS NOT TO BE CONSTRUED AS AN EXACT LOCATION OF THE SYSTEM. 1►/�:r,1:� ATE) FINAL INSPECTION MADE BY (INSPECT, ' NAME) COMMENTS: 1/83