1983, 08-10 Permit: 83A-7542 ResidencePLAN NUMBER
82A-221
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENV 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 . 4709 L H
LOT
2. 12
BLOCK
2
PARCEL NO.
lian Road
01541-0512
SUBDIVISION
Peplinskis
' 1st Addn
3.
OWNER
Tupper Inc
. Realtor
PHO
928-1991
PHONE
LEGAL DESCRIPTION:
Lot 12, Block 2 Peplinskis' 1st Addn
fdAILIG.f)CTIESp r
ague Ave.
ZIP 99216
Actual Set Backs in Feet to:
North 15 ' 'South 1
East 82+' West 30
4.
CONTRACTOR
Tupper Inc.
E �R12929 Spr
#TUPPE1R179DC
LICENSE EXPIRES
3
PHON
92 -1991
Size of Parcel
140 x 85
Zone Classification
sgle fam
Residential
Commercial ❑
ague Ave.
zIP99216
TypeConst.nst.
Occupancy
R-3
Sprinklered
❑Yes ❑No ❑Req'd.
5.
DESIGNER
PHONE
hJew Const. Valuation
Remode ed Valuation
Tota611g. Floor Area
ADDRESS
ZIP
Main Floor
940
Upper Floors
Gara e2S,(orage
544
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv Deck
Bo
Fin. Basement
Unfin8 aagement
TYPE ❑%2EW ❑ ALT. E AD' N. ❑ RPL. ❑ MVE. OF _
7.WORK LXBLD. ❑ PLMB. ❑ MECH. E M.H. ❑ POOL L OTHER
No. Baths
No. Floors
No. Fin.4 Rooms
No. Dwellings
1
Certif1. of Exempt.
or Variance
Required Yes
Received Yes❑
No X
No❑
Number
DESCRIBE WORK
8. Single Family w/dble garage
Shorelines/Flood Hazard
Yes Not Applic. E(
Plans Required ❑
Received C
VALUATION
9.
SOURCE
UTILLIITI ES
GAS
ELECTRIC
PUBLIC
PRIVATE ❑
SEWAGE,
SEPTIC
SEWER ❑
Ownership
Public 0 Private Z.
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
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 / /? (����'� s # 1 98 APPLICATION
OWNER OR AGENT L�<� �J/ GC// DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
effin
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
7-29-83
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building "7416
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ x41,..40
PERMIT NUMBER
63tA -7S4-Z
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE(kFSSUED. i10-83
'77,
PERMIT N .42z *296.00-f,tAL