1983, 04-29 Permit: 83A-3431 ResidencePLAN NUMBER
S3-- 100
APPLICATION/PERMIT
SPOKANE COUNTY —.-SU *DING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
E. 16704 Heroy Ave.
LEGAL DESCRIPTION — SEE ATTACHED
2.
LOT
1
BLOCK
1
SUBDIVISION
Sunnyvale Acres
3.
ITTMR INC REALTORS
PHONE
928-1991
PARCEL NUMBER/S
O/6y/-070/
PDDRf 29 Sprague Ave
g6318
Actual Set Backs In Feet
30 ''South
North
East 'West 30'
4.
CONTRACTOR
TUPPER INC. REALTORS NTUPPEIR179DC
PHO E
928-1991
Size of Parcel Zone Classification
340 x 352 aper Single Ramily
P:1%29 Sprague Ave.
H16
Type Convst.
Occupancy Sprinklered
R-3 Dyes ❑No 0 Req'd.
5.
DESIGNER
PHONE
ADDRESS
ZIP
Val anon
F5� 444 -
tipper Floors
Main Floor
1248
Building Area in Sq. Ft.
1248
Garage Area
504
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
32 unc
Finished Basement
Unf In, Basement
576
TYPE
7. OF
WORK
LJNEW
0 BLD.
❑ ALT.
❑ PLMB
❑ AD N. 0 RPL. 0 MVE.
O MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
2
No. Stories
4-L
No. Rooms
No. of Dwellings
1
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
x
DESCRIBE WORK
8. Single Family Residence
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
ST
Ownership
Public 0 PrivateN3
USE CODE
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 authority 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
• DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
�ot_6wo
Planning
20
Fire Marshall
'Co. E
Utile ies
ne
0
Plans Examiner
At
20^
SEPA Checklist
B ' ding
A
Are
clinician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 3 e2:9
PERMIT NUMBER
X343 1
.02* *33800
*338006
A *0.00
32658
04-25.-83
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'P
0:;4129;a Sil3
DATE ISSUED
314!311
PERMIT NO.
38.0'01pf.-
TOTAL
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FHA CASE NO.
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