1986, 07-29 Permit App: 00012359 Residence' (THIS IS NOTA PERMIT)
BUILDING PERMITrAPPL"ICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE' PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Project Number
Owner's Name LAST FIRST MI
TUPPER, INC.
Project Address (Street Name & Number) Zip
E. 14913 Broad Avenue. Spokane, Washington 99216
Applicant
TUPPER, INC.
Address
E. 12929 Sprague Avenue
City
Spokane
State
Washington
Zip
99216
Phone
( 509 ) 928-1991
Business Phone
( 509) 928-1991
Contractor /Agent
TUPPER, INC.
Address
E. 12929 Sprague Avenue
City
Spokane;
State
Washington
Zip
99216
Phone
( 509 ) 928-1991
Contact
Ken or Debbie
License Number (Required)
TUPPEIR179DC
Business Phone
( 509) 928-1991
Architect/Engineer
Address
City
State
Zip
Phone
( )
Contact
Business Phone
( )
Lender
Add ess
City State
Zip
Phone
( )
# '.. ,.,,�? }`+i`R.r.`"'t%. Ykh�_ "-. `'M^3,'1L`S11E.f `�: tYy"`'v.aM.• '- yp "}. i..
al=1 LD vEAST 2ND 'ADD.,IT:I ON
,' 1i.O : -- PORTIO
TtHERE.OF. 5 '
.Paroei Number
' 35644-9075 PORTION THEREOF
Slam
10'
PM Wer
**Mt file Stia!bari
-Comp. P an
Census-Nutt
•
'-: of revelling Unita
Number of Buildings
1
Lot Size (Sq. Pt. /Acre) Dap* Frontage
11 135
s.tbeck .
1401Setbeicic
flight Setback
ligillillill111111111
1ma
12 6 main floor
24 th'rd level unfinished
'.' .-.
84 •ar-•e .. -- .-.
�... { :OEPARTM
•
y..
1
DEPARTMENTAL REVIEW
Approved
Cond.
• pproval
Hold
Environmental Health Permit Number ‘—e (743/
,+�•
❑
ig.'
W. 1101 College
Room 200
�/ , j
!�
•
Planning/Zoning
N. 721 Jefferson
Permit Number
7 y
•
Engineers
N. 811 Jefferson p:4 (-06
c2 ,
❑
Utilities
N. 811 Jefferson
I
Plan Review/ Fire Prevention
N. 811 Jefferson
E
Other (SEPA/Critical Material/etc.)
❑
Fast Track/Special Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and bind
Owner's Signature Date
Z1
Z7
4,
50e.
/7.
's -,s6 . py_17-Li
___L_
__.
• - 70c) %WA / Air"="EZ. /3 - 1
------216___-
2 telder"":- _
• - 1379-7s1--
l ,
4• /71-
/0,06 64 L. -
TAN 6
24 S
L. /1//4/6 R '1
FL 00E ELE =30;5
/4
.f."1...E TZ/
/15
27
PZ'/ /
5.
I - -
. c
rn
f p
5 kig
— •
.S.,7041D AV
7-=-;
'
Address: E. 14913 Broad Avenue . 3200/4th
Legal Description: L7 810 Summ=rf i el d East 2nd Addi ti
Appl i cant: Tupper Power:
538 Trentwcod
FHA Case = : 097233-3 Scale: 1" = 20'
N
5C-4LE IZO