1992, 06-01 Permit: 92003869 Pool SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WAS7-IINGTON 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 iss ce of this permit/ pplication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel he rovisions of any s e or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION �*,� / 9
OWNER OR AGENT DATE 4r
SITE STREET- 10721 E 29TH AVE
ADDRESS= SPOKANE WA 99206
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 44 LOT= ZONE= SFR DIET4=
.,.. BLDGS= 1 DWELLIN .. ....
OWNER= CLARIDGE , DON PHONE= 509 92S 6613
STREET= iO721 E 29TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME- MONARCH POOL PHONE NUMBER:- 709 922
BUILDING SETBACKS : FRONT- NA LEFT= 24 RIGHT= 22 REAR=
: ......: 1::,:::.:;.:,•.:'..ii.:'.' :j.:,.:!.:,i.:,;.:!f.:,(.:ij.:y�.:,j.:ii.:: .:i..n
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CONTRACTOR- MONARCH POM 5:PA SUPPLY PHONE= 509 922 O'PO
STREET= 10010 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99206
ITEMM i':;..
PRIVATE POOL
STATE SURCHARGE
COUNTY SURCHARGE 9 , 0()
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06/01 /92 4062 63, 50
................................................
TOTAL DUE= .00 TOTAL PAID= 67 _ 50
.. .. .... .'.'�.... .... t..J+J i...
63 , 50 63, 50 , 00
PROCEgEET? BY : JULIE EHATTO
PRINTED . JULIE
: :, K•..•11, ?I, t,. !.. E., .I }!.,.. 7., 1., 1!,::- 1}, 1., f..;..K ?- *:y: THANK ...... .. ...':'?!:'?!:':.'?.,
IMPERIAL POOLS
E. 10010 Sprague
Spokane, WA 992C
509.922-0905
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