1983, 08-10 Pemrit: 83A-7544 ResidencePLAN NUMBER
TO — -- —
APPL MCAT ION /PERMIT PERMIT NUMBER
82A-221SPOKANE
COUNTY — DEPARTMENT OF BUILDING & SAFETY g3�► -,754+
Unfj�„gasement
6
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. E. 16$11 Longfellow Ave.
PARCEL NO.
01541-0508
LOT
2. 8
I BLOCK
2
I SUBDIVISION
Peplinskis' lst
Addn
No. Dwellings
LEGAL DESCRIPTION:
Lot 8 Block 2 Peplinskis' 1st Addn
1
OWNER 7928-1991
Tu per Inc. Realtors
3.T U
HONE
PHONE
-
MAILING ADDRESS
E. 12929 Sprague Ave.
ZIP
99216
Actual t Backs in Feet to:
North 33' South 65+' East 25' West 12'
CONTRACTOR
Tupper I nc. #TUPPE I R179DC
LICEN E PIRES
31VA
PHON
929-1991
Size of Parcel
128 x 93
Zone Classification
Sg 1 e Fam i 1 y
Residential
Commercial ❑
4
or Variance
Received
Yes El No❑
DESCRIBE WORK
8•
Shorelines/ Flood Hazard
Plans Required
ADDRESS
Yes❑ Not Applic.CX
ZIP
Type ZV;ngt.
IIVV
Oceµpa3y
tt((
Sprinklered
oyes ❑No ❑Req'd.
DESIGNER
PUB ICRC
PHONE
Ww Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5. ----
-
-
940
ADDRESS
I hereby certify that I have read and examined this application and have read the "NOTICE"
provisions included on
ZIP
Main9FJ 0
Upper Floors
Garae�$�orage
Greenhouse
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
CHANGE OF USE FROM
TO — -- —
Cover Deck
Uncvd O k
Fin. easement
Unfj�„gasement
6
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE CTINEW 11 ALT. 11 AD' N. 11 RPL. ❑ MVE.
1
1
4
1
7. OF El OTHER
WORK C?(BLD. 1-1PLMB. ElMECH. ElM.H. ElPOOL
Certifi. of Exempt.
Required
Yes❑ No
Number
or Variance
Received
Yes El No❑
DESCRIBE WORK
8•
Shorelines/ Flood Hazard
Plans Required
Single Family w/doub 1 e garage
Yes❑ Not Applic.CX
Received ❑
VALUATION
SOURCE
OF
GAS
ELECTRIC
PUB ICRC
SEPTIC
Ownership
FEES COLLECTED
9
PRIVATE ❑
SEWER ❑
Public ❑Private X
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 2r4(�.CV
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
OWNER OR AGENTZLI" /% / /L -1L % #241 DATE—^�-2�-83
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
Qjil
�
SEPA
Planning
Modular/
MFG. Home
Fire
Prevent.
Engineer
,
Other (Specify)
/ Plans.r+ PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
TOTAL $ j`'li&0=0
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
DATE UJ D1 0 — 8 3
PERMITZd 4. 4 7 * 2 9 6. O O,0 -AL
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2
ADDRESS_ /l
3 // 6AI-- .CLeec!
STYLE
HOME
-, -LEGAL =DESC-RiPTiON-
--
iAPPL (CANT-
poeFit� �H�
POWER
/,(/ Gl//-
_ JOB NO.a?'//
WATER1 o,a so 1, ac 10 7c a
FHA CASE NO.
SCALE
1 " = 20'