1983, 08-12 Permit: 83A-7721 ResidencePLAN NUMBER
82A-220
APPLICATION/PERMIT
'.'SPOKANE COUNTY — DEPARTMENtOF BUILDING & SAFETY .
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. E. 16419 Heroy Ave.
LOT
2. 5
SLICK
PARCEL NO.
01541-0705
SUB IVISION
Sunnyvale Addition
3.
OWNER
Tupper Inc. Realtors
PHONE
PHQ418_1991
LEGAL DESCRIPTION:
Lot 5, Block 1 sunnyvale Addn
Vi." 109 gp rague Ave.
z1P99216
4.
.' ADDRESS
E. 12929 Sprague Ave.
DESIGNER
IupperTOInc. Realtors
LIC5VS &IRES
PTA -1991
Actual Set Backs In Feet to:
North 1 6 ' !south 25' [East 25' I West 45'
sl214P x 90
Zone1'ification
sg 1 tam
Rwidentia?]
Commercial 0
5.
ZIP
99216
Type Const.
VN
Occupancy
R-3
Spr nklered
0Yes DNo OReq'd.
PHONE
.i+
y Y,t �t Cort. Valuation
l , ^
Remade ed Valuation
Tota Jt Floor Area
ADDRESS
ZIP
Mabe er
Upper Floors
GaraQel$lorage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
80
Fln. Basement
Unfin. Beaement
531
7.
x
TYPE '0 NEW 0 ALT. D AD' N. D RPL.
0 MVE.
OF 'Pf BLD. D PLMB. 0 MECH. 0 M.H. D POOL
WORK
0 OTHER
No. Baths
1
No. Floors
1
No. Fiq. Rooms
No. Dwellings;
Certifi. of Exempt.
or Variance
Required Yea NoKJ
Received Yes0 No❑
Number
8. °sfi ea i ly res with double garage
Shorelines/Flood Hazard
YesD Not Apollc.0
Plans Required 0
Received
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
X
WATER
PUBLIC CX
PRIVATE 0
SEWAGEE
SEPTIC Q
SEWER 0
Ownership
Public 0 Private IN
I hereby certify that I have read and examined this appl cation 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 REOUIRED INSPECTIONS
SIGNATURE OF //, LL 5.?. J,4tr #233 DATEAPPLICATION
OWNER OR AGENT i'Ix
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
Wela
SEPA
Plans
Exam.
Building
Tech
0 pa
FtLe
g3
8/i
8-5-83
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. Horne
% co
Other (Specify)
TOTAL $ sot 'cti
PERMIT NUMBER
&3f+— z7zf
02* *301.00
*301.006
A *0.00
75838
08-10-83
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEWUEW 2_ al 3 PERMITIND. L. Z * 3 0 10 0 q°d;AL
•
;_-
1 I r
1
%
1
P ^ft
/H/'
•A
E7
7777
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ADDRESS C 16579 hlek4
1
STYLE HOME 07, (°I SI
1-LE6AHOESCRIPTi0N;(071'7T--4)-k--/—;S�Yu
Jr/x-r.'
£j'-
I APPLICANT / uvose UWP i I ! ! 1
POWER A' M '&'r Tdoilem
-- ----- ----.
JOB NO.
FHA -CASE N0.
.WATER : (�4 ,v.F' 1- o' la
-SCALE '-- 1-" = 20'