1995, 10-04 Permit App: 95008001 In Ground Pool 2 APPLICATION INFORMATION 5 _ T] ,,;-.)0 i
What is the JOB SITE address? J/ ASSESSOR'S tax parcel number?
470 Ll —
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
lc n, vnd,, 7iLv-o 635 - Y i 7
Mailing address /J City,state Zip
/_ ., 27c`/ -- iy' �C— )vim Ic g.-7z/ 2-
Who should we contact regarding this project? Phone
What work is being done under this permit?
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Lone Inspector district '.:: roperty size Right of way width
rmn at
Water district
m m
D b
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
WA State Contractor license# Main floor area Unfinished basement area
Mailing address ''2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
Manufactured Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
4
Relocation Fire Safety
Previous address Fire Sprinkler Tent _
Paint booth_ Fire Alarm Fireworks display
VALUE
Contractor +Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
'Fuel Storage Tanks Swimming Pool
(Circle one) hove ground Underground 'Swimming
, a allons tFrrvste
Contents of tank(s) Size/gallons / /
t'2: X
2r;2v Public/semi-private
Contractor Contractor
Wa State Contractor license# W'A Staten rd for license#
jG�r� C-Zr%g/ D i
Mailing address Mailing ddress
COMPLETE ALL APPLICABLE INFORMATION /
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments 0 Underground utilities
❑ Distances from center of roads, right of ways, 0 North arrow
private roads & property lines 0 Septic tanks & wells
O All existing & proposed buildings