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1983, 08-29 Permit: 83A-8319 ResidencePLAN NUMBER 82A-224 APPLICATION/PERMIT SPOKANE COUNTY — DF.PAR7MENT 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. 4721 Conklin Road LOT BLOCK 1 PARCEL NO. 01541-0701 SUBDIVISION Sunnyvale Addn. OWNER 3 Tupper Inc. Realtors MAILING ADDRESS E. 12929 Sprague Ave. CONTRACTOR Tupper Inc. #TUPPEIR179DC ADDRESS E. 12929 Sprague Ave. 5, DESIGNER PHONE PHONE 928-1991 ZIP 99216 LEGAL DESCRIPTION: Lot 1, Block 1 Sunnyvale Addn. Actual Set Backs in Feet to: North 14141 lSouth 20' East 30' LICENSE EXPIRES 3/3/84 PHONE 928-1991 Size of Parcel 120 x 140 west 84+' Zone Classification sgl fam ZIP 99216 PI-IONE Type Const. VN Occupancy m R- ADDRESS ZIP Residential*=1 Commercial 0 Sprinklered 0Yes EN° OReq ' d. Reodeled Valuation New Const. Valuation r Ma;in oor Upper Floors 940 6. CHANGE OF USE FROM TO Cover Deck Uncv. Deck 80 Garage/ Storage 528 TYPE ENEW 0 ALT. AD' N. 7. OF EXBLD. WORK El PLMB. 0 MECH. DESCRIBE WORK 8. single family residence with VALUATION 9. SOURCE OF UTILITIES GAS 0 RPL. EJ MVE. M.H. E POOL double garage ELECTRIC X 0 OTHER No. Baths No. Floors 1 Total Bldg. fr'ior Area 940 Greenhouse Fin. Basement No. Fin. Rooms 4 Unf in. Basement 884 No. Dwellings 1 Certifi. of Exempt. orVariance Required Yes0 No0 Received Veer Nor Shorelines/Flood Hazard YesLJ Not Applic. Number Plans Required Received )/ WATER PUBLICK1 PRIVATE E SEWAGE SEPTICIX SEWER E Ownership Public E 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 z// APPLICATION OWNER OR AGENT DATE R -27—R3 SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. )ov.Do) 645 C5A 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 PERMIT NUMBER B3A WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE RJED6 7 n — 8 3 *2 9 6 0 0_,Qin°4-"j PERAIIT4(). 1. 9 JOB NO. a.t.j fHA CASE N0. ____WATER -tal.. d4 » SCALE 1 " = 20' s• 4 — — Z. 1 ;ti �- S- °1 I t �--rir"" I -----T off ` 4 L *.tJ�r4 9 ` c, 4--. yT _i___I { e 1 r -T'— (, ALL, 4, tie,/ ` I I I 1 1 f k. f JIADDRESS C'to• I i f , ( ' I I , .f,i , I • 1 � , I / /fin -- , �/ 4/7-7/ NI, yIt' f r 1i',� !__ STYLE HOME 9yQ C 9 ;_ `_i •'-i __t_ - I ' ' l Jam- ! . i/ . - r - -- r L-�E SC -R 1 PTf ON ix t • �3 ti 7 - -*• t nrNii -t-T* L'` 1 APPL (CANT il-f olopf.-A;---r.71 + ! POWER . 1-(/ kef JOB NO. a.t.j fHA CASE N0. ____WATER -tal.. d4 » SCALE 1 " = 20'