1985, 04-25 Permit App: 00005110 Residence*
oO
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name (last) (first) (m)
Tupper Inc.
Department Use Only
1403. TComm
2 Project Address (not Mailing Address) a Road Name Space Zip
E. 11421 Buckeye 99206
3 City/Community
Spokane
State
WA.
Subdivision/Plat Name
FAIRACRES REPLAT #3
r
4 Assessor Parcel No.
09542-1508
Lot
8
Block
* * * DEPARTMENT USE ONLY * * *
5 Sic Code
Zone Act. 0
Zone
SFR.
Project No.
5//6
6 Dwell it
No. of Buildings
Sq. Ft./Acre
Depth/
Frontage
7
7 Set Back -Front
30
(L)S-1
✓G
(R)S-2
/5
Rear
-
Census Tract
Module No.
Initials
16 Architect Firm Name
Street Address
Zip
City
.State
Phone
( )
Contact Person
Phone If different than above
( )
Contractor Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zip
99216
City
Spokane
State
WA
Phone
( 509 ) 928-1991
Contact Person
Ken Tupper or Debbie Kracher
License No.
TUPPEIR179DC
Phone If different than above
( )
8 Owner/Agent (if different than 01 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan Check (Y/N)
Y
Other (Y/N)
N
I SEPA Exempt (Y/N)
N
Date
15 Type Work [ Bldg
❑ Fire
❑ MH
0 Demo
M New
0 Add/ Alter
El Replace
El Move
pt2-1-85
�dOl�rl e garage
14 Describe Work
Single family residence with double garage
10 Applicant Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
11 Zip
99216
City
Spokane
State
WA
Phone
( 509) 928-1991
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional Information
979 main floor
932 unfinished basement
80 uncovered deck
480 double garage
DEPARTMENT APPROVALS
❑
El
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
I I IIJ IJ I IUL a rui I I ll L
(Indicated approvals required in either "release" or 'release with conditions"
issuance.)
space prior to permit
Release
Release
w /cond 1
Hold 2
E]
r Environmental Health ❑ Commercial; ❑ Residential
W. 1101 College ❑ New Construction; 0 Bldg alteration/addition
Room 200 0 Additional structure;
APPLICATi.ON # 5" - %
Condition s/Comments• /' •/ j"" "" '
CI
Planning/Zoning: ❑ Commercial; 0 Cert. of Exemption; 0 Frontage;
0 lot ❑ lot size; 0 use/zone;
N. 721 Jefferson 0 Setbacks; w/d;
0 CU, variance, zone change; shoreline; 0 fence;
0 Other
Conditions/ Comments*
Ei
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain;
N. 811 Jefferson 0 drainage 0 new access/approach; 0 fence;
0 road improvements
Conditions/Comments• /'71C1 45-0
f
CD
Utilities:
N. 811 Jefferson
Conditions/Comments:
Other:
Plan Exam
Fire Prev.
Conditions/Comments.
Information r ❑�
Project Representative Telephone
Agencies Performing Special Inspection:
1.
2
3.
1-
H
d1
LL
1
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
1
N
yz
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97q'C
e
• •
4'
EAST //ilia/ BUCKEYE AVE
Lot 8 Block 1 Fairacres Replat #3
STYLE - 979CS
Washington Water Power
,Vegtiefu Water
Tupper Inc.
JOB Al 819
1" 20' approx.
AY
C.u463
4?dc/20/SH