1983, 04-18 Permit: 83A-3036 Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 63--- f\— ��
NORTH 811 JEFFERSON / SPOKAICE,WA51IINGTON 99260 / (509)456-3675
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. E . 16706 Wellesley Ave.
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 4 2 Sunnyvale Acres #01541-1304
OWNER PHONE
3 Tupper Inc. 928-1991
ADDRESS ZIP Actual Set Backs in Feet
E. 12929 Sprague Ave . 99216 North 40 ' (South East I (west 5.2 '
CONTRACTOR PHONE Size of Parcel Zone Classif icWA d--
Tupper Inc . \#TUPPEIR179DC) 928-1991 295' x 150 ' Singlc Family
4. ADDRESS ZIP Type Con�fiit. Occupancy Sprinklered �` ti C,
E. 12929 Sprague 99216 4VN R-3/ 1 ❑Yes ❑No ❑ Req'd. L
DESIGNER PHONE Valuat'on Building Area in Sq. Ft. ;' y
i4 0 0 C 2,Z)2 1392
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
C
1392 - 784 -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. 32 unc 672 729 a , T _ s
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE LNEW 0 ALT. ❑ AD'N. 0 RPL. 0 MVE. 2 4-L 8 1 6. it 7 y
7. OF �} 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK `a', BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL
of EXEMPTION X
DESCRIBE WORKEnum. Dist. (Location (Area) T FEES COLLECTED
8. Single Family Residence
VALUATION •')URCE GAS ELECTRIC WATER SEWER Ownership USE CODE
g. 75 ,000 UTiLOITIES WWP Consol ST Public ❑Private)? Single $
;7.;—,-,;1A—. '--
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 Building
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 Plumbing
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DATE OF APPLICATION 4-15-83 SIGNATURE OF APPLICANTMech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Healt 1 + �j
t106110 11- I ✓ SEPA `-
Planning -
r,
J
Mobile Home
Fire Marshal I
Co..Engi j Other(Specify)
i iia0.3
Utilities 1
TOTAL $ v/
Plans Examiner
P�46-334)/2WHEN MACHINE VALIDATED IN THIS SPACE,
S A Checklist ""v THIS BECOMES A PERMIT.
ilding TfirChnici n PERMIT IS NONTRANSFERABLE 04-r'18 -8 ,3' i
S-C- �""'Y PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT N� U Z 3 9 T�VAf
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