1983, 08-29 Permit: 83A-8324 ResidencePLAN NUMBER
82A-221
APPLICATION/PERMIT
SPOKANE -COUNTY — DEPARTMF_N 7OF 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.
4615 Larch Road
•
PARCEL NO.
01541-0405
LOT
2. 5
OWNER
3 Tupper Inc. Realtors
MAILING ADDRESS
E. 12929 Sprague Ave.
BLOCK
1
SUBDIVISION
PEPLINSKIS lsr ADDN.
PHONE
PHONE
928-1991
LEGAL DESCRIPTION:
ZIP
99216
Lot 5 Block 1 Peplinskis' 1st Addn
Actual Set Backs In Feet to:
I
ll Zone Classification
sgl fam East 30' Ica
North 15' ISouth 19' est 84+'
CONTRACTOR
Tupper Inc. #TUPPEIR179DC
4.
5.
ADDRESS
E. 12929 Sprague Ave.
DESIGNER
L13i3/EXPIRES
PHON
2
9 -1991
ZIP
Sim of Parcel
90 x 140
Residential 6
Commercial 0
99216
Type Const.
UN
Occupancy
R-3
Spr nklered
UYes DNo CReq'd
PHONE
New Const. Valuation
4-3
Remodeled Valuation
Tota Bldg Floor Area
140
ADDRESS
ZIP
Main Floor
940
Upper Floors
Garage/Storage
8
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
80
fFm. Basement
Greenhouse
Unfin. Basement
884
TYPE I1NEW ❑ ALT. 0 AD' N. 0 RPL.
7•
WORK £)$BLD. 0 PLMB. 0 MECH. El M.H.
DESCRIBE ▪ WORK
8.
Single Family residence with single garage
❑ MVE.
O POOL
0 OTHER
No. Battu
1
No. Floors
1
No. Fln. Rooms
4
No. Dwellings
1
CertifI. of Exempt.
or Variance
Required Yes❑ No04
Received VesO No ID
Number
Shorelines/Flood Hazard
Ves0 Not Aeolic.
Plans Required 0
ReceivedN
9.
VALUAlON
SOURCE
UTILITIES
GAS
ELECTRIC
X
WATER
PUBLICTJ
PRIVATE 0
SEWA
SEPTIC 0
SEWER 0
Ownership
Public 0 Private Ikf
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 REO/UIJ ED INSPECTIONS
OWNER
OF i -44-e-. „j- J// /Wr ATEAPPLICATION
OWNER OR AGENT �(Y f�(.C_ iti/llf rcc.[�t� #249 DATE 8-17-83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM FINAL DATE
Env. Health
Planning
ritagAN, f5/24
Fire
Prevent.
Engineer
Utilities
SEPA
Para
Exam.
Building
Tech.
ark
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
B3P ' $3Z4
02* *29600
*296008
*000 B
81
08-24-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSt1ED2983
PERMIT4 245' * 2 9 6. 0 0Z AL
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APPLICANT 1pil p i fi,•r, J
i POWER /,(/ `leiry, !
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!JOBNO. a97
-FHA -C-ASE -NO. -
_WATER- 4,4"%fa�.
SCALE I "-= 20'
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