1983, 08-29 Permit: 83A-8317 ResidencePLAN NUMBER
82A-221
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
1.
2.
STREET ADDRESS
N.
LOT
3
4607 Conklin Road
PARCEL NO.
01541-0803
BLOCK
2
SUBDIVISION
Sunnyvale Addn.
3.
OWNER
Tupper Inc. Realtors
PHONE
LEGAL DESCRIPTION:
Lot 3, Block 2 Sunnyvale Addn.
MAILING ADDRESS
E. 12929 Sprague Ave.
zIP99216
Actual Set Backs in Feet to:
North 15 I !south 19' East
30'
West
4.
5.
Iupperolnc. #TUPPEIR179DC
LIC5rjf AIRES
RVA —1991
Size 9 - x
7U0 x 1 40 I Zone Cll it a fll n
g
Residential]
Commercial ❑
rD`m 29
DESIGNER
ADDRESS
Sprague Ave.
z1P99216
Typo Ilpnst.
OQcIncy
Spr'nklered
❑Yes ❑No ❑Req'd.
PHONE
NewCtinst. Valuation
Remodeled Valuation
Total BBIdg.. Floor Area
ZIP
Marl F oor
Upper Floors
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncy,o k
Garage/Storage
528
Greenhouse
Fin. Basement
Un{{r}, Basement
TYPE C NEW ❑ ALT. 0 AD' N. 0 RPL. ❑ MVE.
7. OF BLD. ❑ PLMB. 0 MECH. 0 M.H. ❑ POOL
WORK
0 OTHER
No. Baths
No. Floors
1
No. Fin. Rooms
4
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes No7
Received Yes ❑ Nor]
Number
8.
9.
DESCRIBE WORK
Single family
VALUATION
residence with double garage
Shorelines/Flood Hazard
Yes El Not Applic. fK
Plans Required ❑
Received lS
SOURCE
UTI LLIITI ES
GAS
ELECTRIC
X
PUBLIC
PRIVATE ❑
SEWAG
SEPTICIO
SEWER ❑
Ownership
Public ❑ Private 6
I hereby certify that I have read and examined this application and have read the 'NOTICE" provisions included on
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 violate 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 /�, �, #231
OWNER OR AGENT /L lel
APPLICATION
DATE
8-17-83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
8/25.
PERMIT IS NONTRANSFERd8LE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
2-70
TOTAL $/i.7V
PERMIT NUMBER
$3 •S3t7
99600
*29600.-
3
64%9.
O
t,
W
J_
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEIJI 9
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--SCALE 1 " = 20'