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1994, 05-06 Permit App: 94004050 PoolPROJECT NUMBER= 94004050 APPLICATION DATE= 05/06/94 PAGE= 01 ****** THIS IS NOT A PEP -IIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 14108 E 21ST AVE ADDRESS= VERADALE WA 99037 PARCEL#= 45262.2604 PERMIT USE= SWIMMING POOL W/PROPANE POOL HEATER & PIPING PLAT#= 003084 PLAT NAME= EARLY DAWN 2ND ADD BLOCK= 15 LOT= 4 ZONE= UNKN DIST#= F AREA= 00000000 F/A= F WIDTH= 78 DEPTH= 148 R/W= # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= KITLEY, WILLIAM V STREET= 14108 E 21ST AVE ADDRESS= VERADALE WA 99037 PHONE= 509 928 3832 CONTACT NAME= KERRY HENDERSON PHONE NUMBER= 509 928 6585 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= 10 REAR= 30 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT ---------------------------------------------------------------t-----/-- HEALTHDIST SITE PLAN REVIEW COMMENTS: O k- ; 46 I AV .9� ******************************* MECHANICAL PERMIT ***************************** CONTRACTOR= POOL WORLD INC PHONE= 509 928 6585 STREET= 13524 E SPRAGUE AVE ADDRESS= SPOKANE WA 99216 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- ---------- GAS APPLIANCE >100,000BTU 1 15.00 GAS PIPING 1 1.00 ***************************** SWIMMING POOL ****************************** CONTRACTOR= POOL WORLD INC STREET= 13524 E SPRAGUE AVE ADDRESS= SPOKANE WA 99216 ITEM DESCRIPTION ------------------------- PRIVATE POOL STATE SURCHARGE COUNTY SURCHARGE PHONE= 509 928 6585 QUANTITY FEE AMOUNT -------- ---------- Y 50.00 Y 4.50 Y 9.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ----------------------------------------------------- PROJECT NUMBER= 94004050 APHEDLICATION DATE= 05/06/94 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ------------- ---------------------------- MECHANICAL PRMT ------------ 16.00 .00 16.00 SWIMMING POOL 63.50 .00 63.50 ------------- ------------- ------------ 79.50 .00 79.50 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO ******************************** THANK YOU ************************************ APPLICATION WORKSHEET General Information Job a rens/D� SAV arce number �• Owner / . . one mailing a ress Avco - I tate ip Site Information Legal llesCnphon • V44 is Jam-► - - W 13 toG /,?- /ti o kms`- - ropertysize water istnct --berol. Dwellings buildings Zone Inspector oa wi t Project Information J Building Information Dwelling units Occupantload- Building height Stones Building dimens,ons ota square footage eq parking Ilandicap parking Sprinklersystent I (�nticat Material care foots a breakdown am oor Uncovered /covereddeck Second floor Other Finished asement one Unfinished basement Door (U—value) a ra ge Furnace Contractor Information Harand insulation information R—eat srce Flat ceiling Vaulted ceiling Above Below grade walloor one Jeflicency Door (U—value) mow Furnace ota wm ow area oof u mg c ntn for c 7Z -X-6 s e5 - Plumbing contractor tce nu er wi - . lG one License number Phone allingaildress -1 sa-y 64-( lWatmga ress IN 3City, state, zip Heating contractor Other / Lender License num er one icense num er Phone atmga ressatmga ress try, state zi tty, state, zip PROJECF ONTACF PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 1z.