1983, 05-06 Permit: 83A-3784 GaragePLAN NUMBER
82A-230
U
APPLICATION/PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
4.
JOB ADDRESS
N . 4612
LO T
17
OWNER
Tupper
Lillian Road
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
1
SUBDIVISION
Peplinskis' First Addition
Inc. Realtors
PHONE
928-1991
PARCEL NUMBER/S
#01541-0417
ADDRESS
E. 12929 Sprague Ave.
CONTRACTOR
Tupper Inc. #TUPPEIR179DC
ZI P
99216
Actual Set Backs!�in Feet
North l` 27' "'south 5
East 1 'West 27'
PHONE
928-1991
Size of Parcel
140 x 90
ADDRESS
E. 12929 Sprague Ave.
ZIP
99216
Type Const.
VN
Occupancy
Zone Classification
Single Family
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
Main Floor1
Upper Floors
Building Area in Sq. Ft.
Garage Area
528
Storage
TO
Area of Decks
Finished Basement
Unfin. Basement
I'1,/EW
El ALT. L'N.
[CIr LD. ❑ PLMB. 0 MECH.
DESCRIBE WORK
8. ADA (laK2�) Double
VALUA ION
9.
SOURCE
OF
UTILITIES
Garage
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
GAS
ELECTRIC
WATER
SEWER
Ownership
Public CI Private
USE CODE
1 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 authority 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
DATE OF APPLICATION_. May 3 , 1983
SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
rPL4ti5 OU 'r
S A C ecklist
Buildingician�
SP1
PERMIT IS NONTRANSFERABLE
Rec'd.
Not Req'd.
X
FEES COLLECTED
Single $
Building (Q1
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
034-
0J
*6L,00c
A *C00 G
364.3
05-04.-83 -
6:475
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'5;L 0 6 `-i& 3
373:44 *61,OOU -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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FHA CASE NO.
WATER
a/1544,0 -?ED
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