1983, 08-12 Permit: 83A-7717 ResidencePLAN NUMBER
82A-220
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARPMEfiT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
r
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. N. 4606 Lillian Road
a
PARCEL NO.
01541-0416
2.
LOT
16
BLOCK
SUBDIVISION
Peplinskis' 1st Addn
OWNER
3 Tupper Inc Realtor
MAILING ADDRESS
E. 12929 Sprague Ave.
PHONE
928-1991
PHONE
same
LEGAL DESCRIPTION:
Lot 16, Block 1 Peplinskis' 1st Addn
ZIP
99216
4.
CONTRACTORIur; Inc #TUPPEIR179DC
LICENSE EXPIRES
3/3/84
PHONE
928-1991
Actual Set Backs in Feet to:
North 10 ' (south 8' (East 67+' I West 30'
Size of Parcel
approx 140 x 90
Zone Classification
sgle Fam
Residential LX
Commercial ❑
ADDRESS
E. 1z;29 Sprague Ave.
5.
DESIGNER.
ZIP
99216
PHONE
Type t;Ot.
Occupancy
R-3
ligwConst. Valuation
Spr'nklered
❑Yes ❑No ❑Req'd.
Remodeled Valuation
Total Bldg. Floor Area
979
ADDRESS
ZIP
Main Floor
979
Upper Floors
Garage/Storage
528
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
80
Fin. Basement
Unfin. Basement
831
TYPE >PF NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF El OTHER
WORK >C4BLD. ❑ PLMB. IDMECH. E7M.H. ❑ POOL
No. Baths
1
No. Floors
1
No. Fin.
4 Rooms
No. Dwellings
1
Certifi. of Exempt.
or Variance
Required Yes Nod]
Received YesD No FT
Number
8.DESCRIBE WORK
Jingle Fam i
y
Res/ with double garage
Shorelines/Flood Hazard
Yes❑ Not Applic.
Plans Required ❑
Received
VALUATION
9.
SOURCE
UTILITIES
GAS
x
ELECTRIC
x
WATER
PUBLIC
PRIVATE ❑
SEWAGE,
SEPTIC Li
SEWER ❑
Ownership
Public E Private L�
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/�p APPLICATION
OWNER OR AGENT/(42_, 4f taei- #I97 DATE 8-3-83
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
'Rtecti)
s
Vc CJr"
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
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)
361 .
TOTAL $ 5Ot `
PERMIT NUMBER
—711'7
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQS3UED1 2_" 3 PERMITYNZ. L/ 5* 3 0 1. 0 0 SAL