1983, 08-29 Permit: 83A-8321 ResidencePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
82A-220 SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY��
NORTH 811 JEFFERSON / SPOKA;aE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. E. 16518 Longfellow Ave. #01541-1104
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2. 4
I
5
Sunnyvale Addn
Lot 4, Block 5, Sunnyvale Addn
fuWR
PHONE
PHONE
ppNEer Inc. Realtors
-
928-1991
3.
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
E. 12929 Sprague Ave.
99216
North 45South East 15' 1 west 8'
TONTRACTOR
Inc. Constr.
LIC ESP RES
PH
�E8-1991
Size of Par I
117.x+9 x 208 appr
Zone Classifi tion
Residential P9
Commercial
upper
4.
sg1am
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 12929 Sprague Ave.
99216
VN I
R-3
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
N Const. Valuation
Remodeled Valuation
Total Bl g. Floor Area
5.
r 1
979
ADDRESS
ZIP
Mainloor Upper
Floors
Garage/Storage
Greenhouse
-
-
979
-
528 1
-
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unf in. Basement
6. -
-
-
80
-
932
TYPE n NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
No. Baths No.
1
Floors
1
No. Fin Rooms
4
No. Dwellings
1
7 OF WORK n BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER
Certifi.ofExempt.
Required Yes❑ No
Number
or Variance
Received Yes❑ No❑
DESCRIBEWORK
Single family residence with double garage
Shorelines/ Flood Hazard
Yes❑ Not Applic.
Plans Required 118•
Receivedt
VALUATION
SOURCE
OF
GAS
ELECTRIC
WATE
PUBLIC
SEWAGE
SEPTIC ❑x
Ownership
j
FEES COLLECTED
g UTILITIES
x
PRIVATE ElSEWER
El
public ❑Private
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
--5c6
Building
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 f° #��5 APPLICATION 8-15-83
�6
Mach.
OWNER OR AGENT �� DATE
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
Sl
e
SEPA
Modular/
Planning
MFG. Home
Utilities
Plans i i i I PERMIT IS NONTRANSFERABLE
Exam. I PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Other (Specify)
TOTAL $ "706 I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE F AI D2 9 _ PERMIT NO. z * 0 O TOTAL
U
VIVO
i
4. 1
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iADDRESS
--� - ; L-E�-' K-StA I PT-iON
jAPPLICANT POWER�- t I ~
- --
JOB . NO MIATER
fHA CASE -NO. ;CALE i " _ 20' _