1984, 07-03 Permit App: 00001142 ResidenceBUILDING PERMIT. APPLICATION WORKSHEET
RLEASE 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 (ha's lane Or/ (first) (m)
Department lie Only
Tupper Inc..
Re. !Comm
2 Project Address (not Melling Address) v Road Nero Spee Zip
99216
3 City/Community
Spokane
State
WA
Subdivision/Plat Nene
Summerfield East Addn
4 Ammer Parcel No.
Portion of 35643-9072
Lot
12
Block
2 * * * DEPARTMENT USE ONLY * * *
5 Sic Coda
Zorn Act.I
Zone Project No.
i, ¢v
6 Dwell II -
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Bark -Front
«45-1
(R)S-2
Rear
09131n Tract
Module No.
Initials
k 16 Ardatect Firm Name
Street Address
Zip
Cary -
State
Phone
Canted Person
Prone If different than stove
Contractor Firm Name
Tupper Inc.
Street
East
Address
12929 Sprague Ave
Zip
99216
City
Spokane
State
W4
Phone
(409 i 928-1991
Contact Person
Ken Tupper or Debbie Kracher
License No.,
TUPPEIR179DC
Phone i1 oit,erent than above
( )
8 Owre/Agent (If different than 11 above)
Business
Address
9 Zip -
City
State
Phone
12 Review Required
N
Plan Check(Y/N)
Y
Other(Y/N) I SERA Exempt
N
(Y/N) .
N
Date
4-25-84
15 Type Work d Bldg
❑ Fire
❑ MH
0 - Deno
f New
0 Add/After
0 Replace
0 Move
biter e garage
14 Describe Work
Single Family Residence with double garage
10 Applicant Name
Tupper Inc.
Street
East
Address
12929 Sprague Ave
11 Zip
99216
City
Spokane
State
WA
Phone
(509 )928-1991
Lender
Street Address
Zip
City
State
Phone .
1 1
Contact Person
Phone If different than above
( 1
m
Additional information
9Y4 /»2/i aro-- 304.
vw Asn
ot/ war/cei ,
/ dedzy sev d)
DEPARTMENT APPROVALS
M
•
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
1 rips is nota rermlt
(Indicated approvals required In either 'release' or 'release with conditions'
space prior to permit issuance.)
Release
Release
w/cond 1
Hold 2
•
W. 1101 College 0 New Construction; 0 Bldg alteration /addition
Environmental Health 0 Commercial; 0 Residential lr""'
Room 200 0 Additionalstructure-
► 1
'' ,,
APPLICATION N (1
CCS''
Conditions/Comments•
■
c}+
Other:
•
Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage;
N.721 Jefferson 0 Setbacks; - 0 lot w/d; 0 lot size; 0 use/zone;
Plan Exam
�Ry ❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
Fire Prev.
Conditions /Comments•
.7.337
Conditions/Comments-
3 Information ❑
EngineerOA/
0 Commercial; 0 Residential; 0 Flood Plain;
N. 811 Jefferson 0 drainage 0 new access/approach; 0 fence;
I s, n
-y('
2
3.
o road Improvements
Conditions/Comments- •
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
•
Utilities:
N. 811 Jefferson
Conditions / Com men ts-
■
c}+
Other:
•
Plan Exam
Fire Prev.
Conditions/Comments-
3 Information ❑
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 hold
P/.
r/`'
r -.
:.cc' `jra,nric,i
/ oc•c a u % fa:%(
=L"
80.00
X5.6
ADDRESS N. 4808 Calvin Road STYLE
LEGAL DESCRIPTION Lot 12 Block 2 Summerfield East Addn.
APPLICANT Tupper Inc. POWER W.W.P.
JOB # 527
WATER Trentwood
SCALE 1" = 20.'
p ALM ., R.