1984, 07-03 Permit App: 00001139 ResidenceBUILDING 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.
DspaRnenlUse Dnh
Rm.1comm
2 Pro►ect Address (not Melling Address) or Road Name SPS Zip
‘-)7. 1/5? d % (1/2.44i - 42 ( ca. ,-3—==.1 99216
.
3 City/Community
Spokane
State
WA
Subdivision/Plat Nasse
Summerfield East Addn
4 Assessor Parcel No.
Portion of 35643-9072
Lot
13
Buck
2
* * * DEPARTMENT USE ONLY * * *
5 Sic Code
Zane Act. II
zone
Project No. y
8 Dwell #
No. of Buildings
Sq. Ft./Ase
Depth
Frontage
7 Set Bads -Front
(1)8-1
(R)S-2
Rear
Census Tract
Module No.
Initials
16 Architect Firm Name
Street Addreee
Zip
City
State
Phone
( )
Contact Peres
Phone If different than above
1 )
Contractor Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zip
99216
City
Snok?ne
State Phone
W/ (509 ) 928-1991
Oona Perms
Ken Tupper or Debbie Kracher
LicensA No.
TUPPEIR179DC
Plane ,f different train above
( 1
a Owner/Apert (If different than 11 above)
Business Addreee
g Zip -
City
State
Phone
( )
12 Review Required
N
Ptah Check (Y/N)
Y
Other (Y/N)
N
Vide
SEPA Exempt (YIN) Dale
N 4-25-84
15 Type Work C Bldg
0 Fire
0 MNtr•New°
0 Demo
0 Add/Alter
Replace
❑ Move
e qa ra qe
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
( 1
Contact Person
Phone If different than above
( )
Additional information
%)- 0 ---/////'.l, 372—(
,
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is ngla Permit
(Indicated approvals required in either 'release' or 'release with conditions'
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
❑ New Construction;
❑ Additional structure:
APPLICATION N / 47- 6g�7
❑ Residential
❑ Bldg alteration/addition
Release
Release
w/cond 1
Hold 2
Conditions/Comments'
Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage;
N.721 Jefferson 0 Setbacks; 0 lot wld; 0 lot size; 0 use/zone;
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
Conditions/ Comments'
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain; I tilt y
N.811 Jefferson 0 drainage 0 new accesalapproech; 0 fence;
O road improvements
Conditions /Comments'
Utilities:
N. 811 Jefferson
Conditions/Comments
Other:
Plan Exam
Fire Prev.
Conditions/ Comments*
so❑
Project Representative Telephone
Agencies Performing Special Inspection:
1
2.
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for held
ADDRESS
71 la ce:41cet, t
.li
ra8.�
11%ac:;(.._
N. 4804 Calvin Road
STYLE
-45.200
LEGAL DESCRIPTION Lot 13 Block 2 Summerfield East Addn.
APPLICANT Tupper Inc.
JOB # 528
SCALE 1" = 20'
:,70N E COUNTY HEALTH [MKT
POWER W.W.P.
WATER Trentwood