1983, 07-14 Permit: 83A-6491 ResidencePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
82A-220 04
SPOKANE COUNTY - DEPARTIAENT OF BUILDING & SAFETY ��i�
NORTH 811 JEFFERSON ! SPOKANE, WASHINGTON 99260 ( (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
E. 16222 f llow Ave. 01541-0414
LOT
BLOCK SUB vlsloN
LEGAL DESCRIPTION:
2. 14
1 Peplinskis' 1st Addn.
Lot 14, Block 1 Peplinskis' 1st
OWNER
PHONE
PHONE
3. Tupper Inc. Realtors
928-1991
-
Addn.
MAILING ADDRESS
ZIP
Actua t Bac s m Feet to:
E. 12929 Sprague Ave.
99216
North 35 ISouth 90 East 6 West 6
CONTRACTORE�
ie of Pael
Zone Classification
Residential N
Tupper Inc. #TUPPIER179 4
—19g1irreg.
202 x 55
sgle Fam
Commercial ❑
4
9216
Type Const.
Occupancy
R-3
Sprinklered
❑Yes ❑No ❑Req d.
ADDRESS"
E. 12929 Sprague Ave.
DESIGNER
PHONE
Ne Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
-Qlj
---
979
5.
ADDRESS
ZIP
Main r Upper
Floors
Garage/Storage
Greenhouse
7o
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin'Basement
6. -
I
-
1 32
1 -
1 831
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE NEW ❑ALT. ❑ AD' N. ❑RPL. ❑ MVE.
2
1
4
1
7 OF Ix7
C1 OTHER
Certifi.ofExempt.
Required Yes❑ No
Number
WORK � BLD. ❑ PLMB. 11MECH. ElM.H. El POOL
or Variance
Received Yes El Nod
DESCRI E WO K
8. S ng�e Family Residence
Shorelines/ Flood Hazard
Plans Required
Yes❑ Not Applic.❑
Received
VALUATION
SOURCE
GAS
ELECTRIC
q
PUBLIC C�
SEPTIA�
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ PrIvateNI
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 Z.S(sGF:b
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 APPLI�i'LG%Z�' CATION 6-24-83
OWNER OR AGENT .C.� �. DATE
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
Ol
SEPA
Planning
Modular/
MFG.Home
Fire
Prevent.
Utilities
Plant PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Other (Specify)
TOTAL $(�Cn
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A? PERMIT.
31
DATEt5Li" r — PERMIAIA 9, 1 'z * 2 8 1. 0 0 11D4L
I Y_
JOB N0._ „23� -- - - - - WATER
.-- -FHA CASE NO. - SCALE 1 11 = 20'
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APPLICANT 1�7,t_ FiP SN!'
7 POWER
JOB N0._ „23� -- - - - - WATER
.-- -FHA CASE NO. - SCALE 1 11 = 20'