1983, 07-29 Permit: 83A-7132 ResidencePLAN NUMBER
82A-220
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 /(509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
PARCEL NO.
STREET ADDRESS
1. North 4604 Conklin Road
LOT I BLOCK 1 SUBDIVISION
2. 9 3 Sunnyvale Addition
OWNER
Tupper Inc. Realtors 1P92-1991
PHONE
same
015141-0909______
LEGAL DESCRIPTION:
Lot 9, Block 3 Sunnyvale Addition
ZIP
E. 12929 Sprague Ave. 99216
A NG ADDRESS
ILID3NS,NPIRES pvrl 991
ZIP Ty
CONTRACTOR
4. Tupper Inc. #TUPPEIR179DC
E. 12929 Sprague Ave. 99216
ADDRESS
PHONE
tuaI Set in Feet to:
North 8' south 20'
Size of Parcel
1140 x 90
East 82+. I west
DESIGNER
Zone Classification
Single Fam
1 Occupancy1. Sprinklered
I R-3 0Yes MN° OReq'd.
t. Valuation
Remode ed Valuation Total Bldg. Floor Are
3
0'
Re&dentJ
Commercial El
5.
ADDRESS
ZIP
9'n7F9loor
Upper Floors
CHANGE OF USE FROM
. —
TYPE 121/sIEVV D ALT. 0 AD' N. 0 RPL. D MVE.
0 OTHER
7. OF
[BLD. 0 PLMB. 0 MECH. 7 M.H. D POOL
WORK
T
er Deck
2 unc
DESCRIBE WOBK
8. Single Family Res/ with Dble Garage
OF
SEPTIC r Public El Private N 1
VALUATION SOURCE GAS ELECTRIC priEtriW SEWAGk. 1 Ownership
9. UTILITIES PRIVATE E SEWER E
hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on
1 reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to vioktite or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF APPLICATION _._.._,./f: c.fi_
OWNER OR AGENT DATE
No. Batha
Certifi. of Exempt.
or Variance
I Garage/Storage
528
979
Fin. Basemen
Uncv. Deck
No. Floors
5orelinesFl00d Hazard
Yes0 Not Applic.
1No. Fin. Room
Required Yes L No6
Received Yes E No0
IGreenhouse
Urdin. Basemen
831
NoryWeH
Number
Pla
SPECIAL APPROVALS
PRELIM. FINAL DATE
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE
Env. Heal
Planning
Fire
Prevent.
Engin
Utilities
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Requil
Receiv
ings
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
3oI
TOTAL $
PERMIT tIUMBER
•
. 1,
1 0 0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
cis; —D2 9
DATE UE
PERMIT. :5t 2 2
010 0;32I
:04 -i -AL
-LEGAL 'OESC-R1 PT- ON • j e,1 4 -f ki
;APPLICANT`
7IPPP'it
JOB NO., t 7
FHA CASE N0.
POWER tdas4 kt/q'"tt;tT"dAV- e
WATER &A/50 it h t '
SCALE 1 " = 20'