1983, 08-10 Permit: 83A-7540 ResidencePLAN NUMBER
82A-220
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMEKT OF BUILDING & SAFETY '
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS
North 4704 Lillian
PARCEL NO.
#01541-0605
2.
LOT
5
BLOCK
SUBDIVISION
Peplinski 1st Addn.
OWNER
3. Tupper Inc. Realtors
MAILING ADDRESS
E. 1292.9 Sprague
CONTRACTOR
4 Tupper Inc. Tuppeir 179DC
ADDRESS
E. 12929 Sprague
DESIGNER
5.
PHONE
928-1991
PHONE
LEGAL DESCRIPTION:
Lot 5 Block 3 Peplinskis' 1st Addn.
ZIP
99216
Actual Set Backs in Feet to:
North 25(South 7'
LICENSE EXPIRES
3,-384
PHONE
928-1991
Size of Parcel
140 x 90
LIZone Classification
Sqle. Fam.
East 25' I west 52+'
Residential 05
Commercial 0
ZIP
99216
Type Const.
Vn
Occupancy
R-3
Sprinklered
DYes ❑No ❑ Req 'd.
PHONE
New Const. Valuation
4
Remode
ed Valuation
Total Bldg. Floor Area
79
ADDRESS
ZIP
Main Floor
979
Upper Floors
Garage,(Storage
52-6
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
80
Fin. Basement
Unfin. Basement
831
TYPE 6 NEW ❑ ALT. ❑ AD' N. ❑ RPL.
7. OF
WORK BLD. ❑ PLMB. ❑ MECH. ElM.H.
DESCRIBE WORK
'8. Sing e Family Residence
❑ MVE.
❑ POOL
w/dble
❑ OTHER
N0. Baths
2
No. Floors
1
No. Fin4Rooms
No. Dwellings
l
Certifi. of Exempt.
or Variance
Required
Received
YesE No EX
Yes El No❑
Number
garage
Shorelines/Flood Hazard
Yes NotApplic. f
Plans Required 0
Received
VALUATION
9.
SOURCE
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC CPL
PRIVATE 0
SEWAGE
SEPTIC PI
SEWER 0
Ownership
Public ti PrivateKI
1 hereby certify that I have read and examined this appl'cation 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/�Y APPLICATION
OWNER OR AGENT d . %GC�%7GY # 194 DATE 7-28-83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
&yam
!J CJ
OH
PERMIT IS NONTRANSFERABLE
rias -
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ bt'�
PERMIT NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEUSSU� 0 — 0' 3
PERMIT 4 0 5 *3 0 1. 0 0 roTAL
September 16, 1983
Tupper, Inc. Realtors
East 12929 Sprague Avenue
Spokane, WA 99216
ADDRESS CHANGE
Our office has changed your address from East 16423 Heroy to North 4704
Lillian for your residence located on parcel number 01541-0605.
It is extremely important for emergency vehicle purposes that your address be
posted and remain as assigned.
Should you have any questions, please feel free to contact me between 8 a.m.
and 4 p.m., weekdays.
Sincerely
Jeff Forry
Building Technician
gw