1979, 08-28 Permit: 79-2959 Residence FLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
lq COUNTY — BUILDING CODES DEPARTMENT 7 �/ SP-
SPOKANE
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 02 * * 1
04 00
1. E. 16802 We 1 1 es 1 e� LEGAL DESCRIPTION — SEE ATTACHED 4
LOT BLOCK SUBDIVISI N PARCEL NUMBER/S * 1 0 4.0 0
2. 6 2 Sunnyvale Acres
OWNER / * 0 006
3. Larry Pepl inski Bldr. PHONE f"!_ eL, ,c, y 0/S4 / - j034,
928-6090 A *Q 0 0
ADDRESS ZIP Required Set Backs in Feet 2 5 8
P. O. Box 14410 99214 North 55' 'South 10' East 10' 'West 1Q' 9 V
CONTRACTOR PHONE Size of Parcel Zone Classification 0 8-2 8-7 9
4 Larry Pepl inski Bldr. 928-6090 150' x 295' ic1.479
ADDRESS ZIP Type Const. Occupancy Sprinklered
P.O. Box 14410 Spokane, Wn. 99214 Frame s/family ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
2336
5. ADDRESS ZIP DWL Area I Basement Area Garage Area 1 Storage
X X
CHANGE OF USE FROM TO
Split Entry Split Level Rancher
6.
X
TYPE ® NEW ❑ ALT. 1:1 AD'N. 1=1 RPL. 0 MVE. No. Baths No. Floors No. Rooms Rec. Room
2 2 6
7. OF 0 OTHER.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. single famil + 28x28 attached garage ` 8'x14' covered deck FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
9. 67,500 tii ties WWP Consolidated `- 104.00
Single $
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 r•a_ lating construction or the
perform ce
of cons ructioonn. ill Plumbing
DATE 7Vl.J 2I 1g79 Gl...0.331A.1
I1 SIGNATOR E. i
Mech.
SPECIAL APPROVALS SPECIA NDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health I 1 Y i u� {,�
/ ,{ II IV V//,�� -, Fror
�,G�� /T�I J� �G? C��r1 s_ , SEPA jPlanning (((((( r eiN
*
U../
Fire Marshall • cAil-(y) Mobile Home ✓>
J
PLANS ot` q_6,.-7,7(5P
Co. EngineerOther (Specify)
Utilities
TOTAL $ 104.00—
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ^1� �['J I THIS BECOMESOA'7 PERMIT.
DATE ( 2 /-/ OFFIC . `... . �.--t._. —' D 0 —2 L —/ 9
29 9 � *
APPRt�I�i FOR ISSUANCE 5 z ] 4 !1
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` E. 16802 Wellesley
4
LARRY PEPLINSKI BLDR, Lot 6 Block 2
(, Scale 1"=20 ' SUNNYVALE ACRES
60' R/W Consolidated Irrigation
1440 Rancher Washington Water Power
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