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'