1983, 08-12 Permit: 83A-7723 ResidencePLAN NUMBER
82A -220
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARYREENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. N. 4610 Larch Road
PARCEL NO. 01541-0506
w6T
2.
OWNER
3. Tupper Inc. Realtors
rE9
AILIr129992ESprague Ave
BL0iK
SU DIVI ION
epllinsis' 1st Addn
PHONE
928-1991
PHONE
same
LEGAL DESCRIPTION:
Lot 6, Block 2 Peplinskis' 1st Addn
ZIP 99216
CONTRACTOR
4 upper inc. #TUPPEIR179DC
Ll5ErN356,E4PIRES
PI -%_1991
Actual Set Backs In Feet to:
North 1 1 1 (South 1 2East 2t I West 30 '
Slza 5 x Parcel I40
11 Zone Classification
sgl fam
Residential
Commercial 0
9DDRi2y29 Sprague Ave.
zIP99216
Type Const.
Occgar!y
Spr nklered
DVes ONo OReq'd.
DESIGNER
5.
ADDRESS
PHONE
Const. Valuation
,540
Remode ed Valuation
Tota BIcI FI0er Area
ZIP _
Main Floor
979
Upper Floors
Garage/Storage
528
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Un v. Deck
80
Fin. Basement
Unfin. Basement
831
TYPE 0 NEW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
7. OF
WORK BLD. 0 PLMB. 0 MECH. 0 M.H.
0 POOL
0 OTHER
No. Baths
No Fliors
No. Fiq. Rooms
No.
Ilings
Certifi. of Exempt.
a Variance
Required YesD No0
Received VesO No❑
Number
8.
DESCRIBE WORK
Single family r
sidence with doubl
garage
Shorelines/Flood Hazard
VesO Not Applic. ]
Plans Requ red 0
Received CSS
VALUAT)ON
9.
SOURCE GAS
OF
UTILITIES
ELECTRIC I WATER„
PUB I3'
X PRIVATE 0
SEWAGE
SEPTIC ir
SEWER 0
Ownership
Public 0 Private 6
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 f q*O / / APPLICATION
OWNER OR AGENT - acO //Y('A1_,- #243 DATE 8-3-83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
PRELIM. FINAL DATE
?Otago 'YU
slide
Plans
Exam.
Building
Tech.
or-)
Ft Lt
97
?
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 $501 .05
PERMIT NUMBER
02* *301.00
*301.006
A *0.00 0
75872
08-10-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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DAT S$ UEa e2
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PERMITNO.'�'3 Z * 3 010 0 liVAL
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1ADDRESS A/ lain. LA -1.0_41 %4aa►.,4 1 ' STYLE HOME 97 g_ __._....—_`
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Fri ON--lo-17:46--6IX 4 - - i`PL7vs-Ae, 7 `Tl ._�—._.--r- —r— 1 —+---
'APPLICANT "7y ,. L �- 1 1 POWER IA, W P^
_ __T — `_
L_WATER (On i/S(i 4- •
SCALE 1 " -=L20'