1983, 08-10 Permit: 83A-7541 ResidencePLAN NUMBER
82A-220
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENQF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
440.54.111=1=1:13:=1:=Lectee....
LOT
2. 1
OWNER
Tupper Inc. Realtors
MAILING ADDRESS
E. 12929 Sprague Ave.
CONTRACTOR
4.Tupper Inc. TUPPEIR179DC
ADDRESS
E. 12929 Sprague Ave.
DESIGNER
BLOCK
3
PARCEL NO,
01541-0901
SUBDIVISION
Sunnyvale Addn
5.
ADDRESS
PHONE
PHONE
LEGAL DESCRIPTION:
Lot 1 Block 3 Sunnyvale Addn
ZIP
99216
LISENgERPIRES
E
IM -1991
Actual Set Backs In Feet to:
North 25' South 53+ [East 50+ twest
Size of Parcel
120 x 140
Zone Classification
Sgle Fam
25'
Residential N
Commercial
ZIP
99216
Type Const.
UN
Occupancy
R-3
Sprinklered
[Nes CNo CReq'd.
PHONE
ZIP
6.
CHANGE OF USE FROM
TO
New Const. Valuation
t54‘°
Main Floor
979
Remode ed Valuation
Total
Bldg. Fioor Area
979
Upper Floors
Cover Deck
Uncv. Deck
80
Garage/Storage
S28
Greenhouse
Fin. Basement
TYPE & NEW D ALT. 0 AD' N.
7. OF
& WORK BLD.
PLMB. 0 MECH.
O RPL.
E M.H.
• MVE.
O POOL
0 OTHER
No. Baths
1
No. Floors
No. Fin. Rooms
Certifi. of Exempt.
or Variance
Required
Received
YesE No6
YesO Non
Unfin. Basement
831
No. Dwellings
1
Number
8.
9.
DESCRIBE WORK
Single Fami
VALUATION
ly Residence w/ dble garage
Shorelines/ Flood Hazard
YesE Not Applic.
Plans Required E
Received
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC EX
PRIVATE
SEWAGg,
SEPTIC Z`
SEWER 0
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
SIGNATURE OF
OWNERORAGENT41 t #228
7aCle.,e,-- #228
APPLICATION
DATE
7-29-83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
itym
g
Fire
Prevent.
Engineer
Utilities
SEPA
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
Other (Specify)
TOTAL $
cpiscce.)
PERMIT NUMBER
s3A -74 51
0 2 *
• 0 1. 0 0
* 0 0 1.0 0
*0(20
71 1.
0 7 9-8 3
L. 79,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE 54)El• l 8-8 3
F.ERAAITZ0. 4.1 5
.8
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0-
0
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