1983, 08-12 Permit: 83A-7722 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
STREET ADDRESS
1. N. 4717 Conklin Road
2. L
OWNEP
3.Tupper Inc. Realtors
MAILING ADDRESS
E. 12929 Sprague Ave.
PARCEL NO.
01541-0702
Sunnyvale Addition
LQT BLQGK SUBDIVISION
PHONE
PHONE
928-1991
LEGAL DESCRIPTION:
Lot 2, Block 1 Sunnyvale Addn.
ZIP
99216
Actual Set Backs In Feet to:
North 15' ISouth 33East
West 82+
CONTRACTOR
Tupper Inc. #TUPPEIR179DC
4.
triEn29
DESIGNER
5.
ADDRESS
Sprague Ave.
SAMPIRES
P H(11_ _ 1990
s'zeriPdrce>( 140
Zone Classif ic.ation
sgi tam
ZIP
99216
Tvoe.Const.
Ctkcilsncy
Residential
Commercial
Spr nklered
0Yes 0No 0 Req ' d.
PHONE
retsCzo‘nst. Valuation
Remodeled Valuation
Total Bldg. Floor Area
979
ZIP
Mar
Upper Floors
Ga.lt Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
U nt. eec k
Fin. Basement
TYPE t NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF
WORK t? BLD. 0 PLMB. 0 MECH. ri M.H. 0 POOL
0 OTHER
No. Bars
No. Flrrs
No. Fin. Arms
Unfit Ifisement
No. DrIlings
Certifi. of Exempt.
or Variance
Required Yes0
Received Yes0 No EI
Number
DESCRIBE WORK
8. Single family residence with double garage
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
X
Shorelines/ Flood Hazard
Yes C Not Applic. G/K
Plans Required El
Received NI
WATERY
PUBLIC 0'
PRIVATE
SEWAGE
SEPTIC 0
SEWER
Ownership
Public 0 Private
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
L
SIGNATURE OF ,"APPLICATION
OWNER OR AGENT /iccici,(/‘ #235 DATE 8-9-83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Totekt
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
'50t.oc,
Other (Specify)
'30t ,c7:3
TOTAL $
PERMIT NUMBER
ael -71Z2_
0
-LOC
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE0sia01 2 - 8' 3
PERMIT.2, 2 * 30 10 0 ioiAL
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ADDRESS �/ 9717 ('oNk�/N �"? J (_STYLE HOME 5' 2";'? Sls
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IAPPL 'CANT r ,, rive • 1 POWER W It P
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JOB NO., '.j-
FHA -CASE NO.
WATER l' Ait.%se_- :.:2.: C
SCALE 1 " = 20'