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1986, 03-31 Permit App: 00011045 Residence
(THIS IS NOTA 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) arrMLJCIJ Mn CMJ MnC r .Jn UCr"Mm 1 IVI GIN 1 ML Vac Project Number / / y/ Owner's Name LAST FIRST MI Tupper, Inc. Project Address (Street Name & Number) Zip E. 15004 Broad Ave. Spokane. Wa. 99216 Applicant Tupper, Inc. Address E. 12929 Sprague City Spokane State Wa. Zip 99216 Phone 509 928-1995 Business Phone (509 928-1995 Contractor/ Agent Tupper, Inc. Address E. 12929 Sprague City Spokane State Wa. Zip 99216 Phone (509 928-1995 Contact Ken or Debbie License Number (Required) TUPPE I R179DC Business Phone (509 )928-1995 Architect /Engineer Address City State Zip Phone ( ) Contact Business Phone ( ) Lender Address City State Zip Phone ( I ._:pV 3 :i " i s t 2 t r on . V1--' u;� r/le ..L3'', [x 14ra0irtSuititrr f/ int 6 8iodc.., 11 Plat Number prtinsrtt Fitet Ntalrben Zata� tromp. an censlsr Tract • ffi Dwelling Unita ' Number of Buildings 1 Let Size (Sq. Ft. /Acre) h 1 s Dept$i %�Q - Front-alp U © 1 0 l t* Selbecic 7 l Setback0 'f Y n floor SOW* 'A* In mipt 996 main floor K I''; ,, ,EIEPARTMENT USE Square footage 464 3rd level unfinished 484 4th level unfinished 484 garage 100 uncovered •-.---. a.: 4v ,.A S Fw ,.. Nal.' n.r'".y .Ym4 r:..'i � V. , '#.:. .°��(jdi jl ... �,. r DEPARTMENTAL REVIEW Approved Cond. Approval Hold Environmental Health Permit Number ❑ W. 1101 College Room 200 • Planning/Zoning N. 721 Jefferson _ Permit Number ❑ Engineers N. 811 Jefferson U Utilities N. 811 Jefferson I E Pian Review/ Fire Prevention N. 811 Jefferson E Other (SEPA/ Critical Material/etc.) r l 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. Date Owner's Signature lam C ' { moi' i,o' 1 .7) 23 / 0 0 FZOOR V 3o 9 .2.11 .23 • erlrfLIc, woce eXar9.(2 Ayr, ADDRESS E. 15004 Broad Ave. 1000 20/ .CO circiriA41/e/i .2 1,2' N./ STYLE 2200-D LEGAL DESCRIPTION L6 611 SUMMERFIELD EAST 2nd ADDITION APPLICANT TUPPER POWER WWP JOB # 594 WATER TRENTWOOD FHA CASE # SCALE 1"=201 PERMIT # WELLE EY 0' 4 1:7 Z tAIS GZAre E L.= z7S_ Goo‘ 11:72; a.IM May 41111111.m.•••• 1,11111111111110 • N. • I I • 4.OZ -zoo70AixigtEL.F 4•I CuZ.M. 1.441ALX mAD4FLootz 4:4.2!4 • /3-6,_ 17_11 4. • 4, G.4.0161G . Zi VE 1 A Asf ZS° Address: Legal Description: Applicant: Job =: FHA Case 0111111•• BZOAD AVE -IU E. 15004 Broad Avenue Lot 6, Block 11 Summerfield East 2nd Addition Tupper 594 Style: Power: Water: Scale: Date: 1162SE WWP Trentwood 1" = 20' 3/13/87 IPE