1983, 08-29 Permit: 83A-8323 ResidencePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT CF 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. 4724 Larch Road
PARCEL NO.
01541-0501
LOT
2. 1
BLOCK
2
SUBDIVISION
Peplinskis' 1st Addn
OWNER
3 Tupper Inc. Realtors
PHONE
P99D28-1991
LEGAL DESCRIPTION:
L 1, B 2 Peplinskis' lst Addn.
MAILING ADDRESS
E. 12929 Sprague Ave.
CONTRACTOR
4 Tupper' Inc. #TUPPEIR179DC
ADD ESSI
E. 12529 Sprague Ave.
LICENSE EXPIRES
3/3/84
ZIP
99216
PHONE
928-1991
Actual Set Backs in Feet to:
North 35' (south 15' [East Iwast 30'
Sim of Parcel
120 x 140
Zone Classification
sql fam
Residential OF
Commercial 0
ZIP
99216VN
Type Const.
Occupancy
R-3
Spr nklered
OYes DNo CI Reg
DESIGNER
5.
ADDRESS
PHONE
New .st.__Valuation4
Remodeled Valuation
Tota Bldg. Floor Area
1248
ZIP
Malo FI
Upper Floors
Garagee//Storage
Greenhouse
CBANGE OF USE FROM
8.
TYPE -PO NEW
7. OF
6 BLD.
WORK
TO
Cover Deck
Unc fleck
Fin. Basement
Unfin. 5 Basement
O ALT. 0 AD' N. 0 RPL. 0 MVE.
❑ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
2
No. Floors
4
No. Fin. Rooms
6
No Dwellings
1
Certifl. of Exempt.
or Variance
Required Yes❑ NoO
Received Yes: NoC
Number
DESCRIBE WORK
8. single family residence with double garage
Shorelines/Flood Haze d
YmD Not Apollo. OF
Rare Requ red D
Received KJ
VALUATION
9.
SOURCE
UTILITIES
GAS
ELECTRIC
X
WATER,
PUBLI
PRIVATE 0
SEWAGR
SEPTIC
SEWER 0
Ownership
Public 0 PrivateX&
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 • : /), 6� - ..,J� APPLICATION
OWNER OR AGENT to ii, / /�/F1.Y #246 DATE 8-22-83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM FINAL DATE
Env. Health
Planning
Pre
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
JpW44,
874
CsU
8(2.55
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
338
Other (Specify)
TOTAL $
PERMIT NUMBER
83P
02* *33800
*33800es
A *0.00
81Q1g
08-211-83
g 6 47 9.
•WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
DATEOS5119 �.fl•
{l1,}1 13
PERMITNO. 2 lZ
*338.0g 330.00 TOTAL
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