1983, 08-29 Permit: 83A-8318 ResidencePLAN NUMBER
82A-220
APPLICATION/PERMIT
. SPOKANE COUNTY — DEPAATME.NT OF 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. 4705 Lillian Road
LOT BLOCK SUBDIVISION
2. 11 2 Peplinskis' 1st Addn
3
4.
OWNER
Tupper Inc. Realtors
MAILING ADDRESS
E. 12929 Sprague Ave.
CONTRACTOR
Tupper Inc. #TUPPEIR179DC
ADDRESS
E. 12929 Sprague Ave.
PHONE
J�IC, NAFXPIRES
pvg ••
ZIP
99216
PARCEL NO.
01541-0511
LEGAL DESCRIPTION:
Lot 11, Block 2 Peplinskis' 1st Addn.
ZIP
99216
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6. _
PHONE
ZIP
TO
TYPE CNEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF ❑OTHER
WORK L BLD. ❑ PLMB. ❑ MECH. El PLMB. ❑ POOL
Actual Set Backs in Feet to:
North 13' South 10' East 82'
Size of Parcel
85 x 140
Type Const.
West
Zone Classification
sgl
30
Residential X]
Commercial 0
Otwup�incy Sprinklered
KK S ❑Yes ❑No Req 'd.
New Const. Valuation Remodeled Valuation
Main Floor
979
Cover Deck
Upper Floors
Garage/Storage
528
No. Baths
1
Certifi. of Exempt.
or Variance
Uncv. Deck
80
No. Floors
1
8. DSicngle ofamily residence with double garage
VALUATION
9.
SOURCE
F
UTILLIITIES
GAS
ELECTRIC
X
SEWAGE,
SEPTIC Cr
SEWER 0
Total Bldg. Floor Area
979
Greenhouse
Fin. Basement
No. Fin. Rooms
4
Required Yes❑ No❑
Received Yes❑ No
Shorelines/Flood Hazard
Yes El NotApplic.)]
Ownership
Public 0 Private
I hereby certify that 1 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 ,! APPLICATION
OWNER OR AGENT,j .6fr /�G�47f #244 DATE 8-22-83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
14toon
s
csA
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
932
No. Dwellings
Number
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
SSA
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�pp Ld n
DATEt SSUEC2 7
83
PERMITWC.IAO2 *306.00
O _I
ttOIrAL