1986, 03-31 Permit App: 00011042 Residence(THIS IS NOT A PERMIT)
BUILDING PERMIT APPLICATION 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)
.5 87
Project Number / /lJ (�
Owner's Name LAST FIRST MI
TUPPER INC.
Project Address (Street Name & Number) Zip
E. 14919 Broad Ave. Spokane, Washington 99216
Applicant
TUPPER INC.
Address
E. 12929 Sprague Ave.
City
Spokane
State
Washington
Zip
99216
Phone
(509 )928-1991
Business Phone
(509 )928-1991
Contractor / Agent
TUPPER INC.
Address
E.
12929 Sprague Ave.
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
I
Phone
( 1
Contact
Business Phone
( 1
Lender
Address
City
State I Zip
Phone
1 1
;. iDRtlWgik
"_...,,L......:
6ctivi nfPtat sitar arBhert Plat Number , ' 34 qe 7_5- Aw ) it .-
SUMMERF' I ELD EASY -2ND ADDITION
Assessor Parcel Number
L t
6
r.
Brock
10
Piat Number
1;tertin5nt File Numbers
5 ff-
Comp. Pian
Census Tract
' Number of Dwelling Units
_1
Number of Buildings
1
Lot Size (Sq. Ft. /Acre)
11,135
Depth
136'
'Frontage
. -� C
Front Seth /� t
0
Left Setbackl� `
'-1
Right Setback t
q
sear Setback
Additional information
1210 main floor
DEPARTMENT USE 1
Square Footage
1184 unfinished basement
484 garage
Building Technician
JC►ti m'
Date
3--31-8i,
Group
F--3
Type
DEPARTMENTAL REVIEW
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 binding.
Owner's Signature /
Date =—� E
Approved
Cond.
Approval
Hold
Environmental Health Permit Number
W. 1101 College
Room 200
Planning/Zoning
N. 721 Jefferson
Permit Number
Engineers
N. 811 Jefferson
Utilities
N. 811 Jefferson
Plan Review/Fire Prevention
N. 811 Jefferson
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 binding.
Owner's Signature /
Date =—� E
t
/
'
1
I
I
I
ADDRESS E. 14919 Broad Ave.
STYLE
2200-C111
LEGAL DESCRIPTION L6 BIO SUMMERFIELD EAST 2nd ADDITION
APPLICANT TUPPER
POWER WWP
JOB # 587 WATER TRENTWOOD
FHA CASE # SCALE 1"=20'