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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