1983, 08-12 Permit: 83A-7726 ResidenceNrrL.11l.i� 1 I,VItl; rLPI YII
82A -22o SPOKANE COUNTY — DEPART' M -ENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREETADDRESS
PARCEL NO.
1• N. 4723 Lillian Road
01541-0515
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2 15
2
Peplinskis' lst Addn
Lot 15, Block 2 Peplinskis' 1st Addn
OWNER
PHON
PHONE
NE
Tupper Inc. Realtors
928
-
3
MAILING ADDRESS
ZIP
Actual t Backs In Feet to:
E. 12929 Sprague Ave.
99216
North 30' 1 South 28' East 25' west 50'
CONTRACTOR
Tupper Inc. #TUPPE I R179DC
PIRES
T73MA
P
IM -1991
Si of Parcel
T20 x 140 sg
Zon CI ification
I Fam
Residential]
4
Commercial E
ADDRESS 1�9�9 Sprague Ave.
Z'99216
� j const.
` "`y
Sprinklered
❑Yes El No ❑Req'd.
DESIGNER
PHONE
Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
-
-
979
5.
ADDRESS
ZIP
Main Floor Upper
Floors i Garage/Storage
Greenhouse
-
-
979
-
528
-
s CHANGE OF USE FROM
TO —
Cover Deck
Un%peck
1511
Fin. Basement
Unfin. Basem
831
y�r NEW 11 ALT. El AD'N. ❑RPL. ❑ MVE.
TYPE "L'J'
No. Baths No.
1
Floors
1
No. Fin. Rooms
4
No. Dwellings
1
7 OF ❑OTHER
WORK BLD. ❑ PLMB. 1:1MECH. 1:1M.H. El POOL
Certifi.ofExempt.
Required Yes❑ Nok
Number
or Variance
Received Yes❑ No
DESCRIBE WORK
8•
Shorelines/ Flood Hazard
Plans Required ❑
Single Fami ly Res with double garage
Yes Not Applic.EX
Received r
VALUATION
9
I SOURCE
GAS
ELECTRIC
PUBAL CRS
SEPTIC SEWAGN
Ownership
FEES COLLECTED
UTILITIES
X
PRIVATE ❑
SEWER 1-1Public
❑ Private Q4
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
Building �.QO
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
Plumbing
SIGNATURE OF ` APPLICATION 3_3
My
OWNER OR AGENT 1 �hZ� ° 1"t #245 DATE
_
Mech.
PECIAL CONDITIONS: (SEE REVERSE
PRELIM. FINAL DATE
Env. Health
ccE;.Lc ItAl
Planning
Utilities —�
SEPA
Plans bA+ PERMIT IS NONTRANSFERABLE
Exam. 1� PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building•y [i IN 180 DAYS
Tech. 7 Chg.-
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ I
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES A PERMIT.
PERMIT NUMBER
DATE ISS61Eo12-83 772.66Z *301.00a -i -
PERM IT NO. TOTAL
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