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1984, 06-12 Permit App: 00000995 ResidenceBUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND CUM PLETE 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 Nrns 611110 (first) (m) Department Ws Only Tupper Inc. Res.Icorm I 2 Project Address (not Mailing Address) ? Road Name Space Zip N. 4816 Calvin Road (Job # 525) 99216 3 sty/Community Spokane State WA Subdivision/Plat Name Summerfield East Addn l '2.:.'=,14;.---, 4 Assessor Parcel 140. Portion of 35643-9072 Lot 10 Block 2 * ** DEPARTMENT USE ONLY * * * 5 Sic Code Zone Act. 4 Zone Project No. "t CI 4 6 Dwell ft No. of Buildings Sq. Ft./Acre Depth Frontage 7 Set Beds -Front (L)S-1 (R)S-2 Rear Census Tract Module No. Initials 16 Architect Firm Name Street Address Zip sty State Phone ( ) Contac Person Phone if different than above ( ) , Contractor Firm Name Tupper Inc. Street Address East 12929 Sprague Ave Zip 99216 sty Spokane State WA Phone (C09 ) 9/8-1991 .... Contact Fenton Ken Tupper or Debbie Kracher Lioenan Wo. TUPPEIR179DC 9'hx a it i+l °errant th_n ebeve ( ) 8 Owner/Agent (if different than M1 above) Business Address 9 Zip City State Phone ( ) 12 Review Required N Plan Check (Y/N) Y Other (YIN) N I SEPA Exempt (YIN) N Date 4-25-84t 15 Type Work I 0 Bldg Fire 0 MH 0 Demo OF New 0 Add/Atter 0 Replace 0 Move b Iph qa rage 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 1202 mn floor 321 242 basement 484 double garage Fast Track/Special Insp. Application Type (Standard unless otherwise indicated) Fast Track Early Start Environmental Health W. 1101 College Room 200 . r' • DEPARTMENT APPROVALS This is g a Permit (indicated approvals required in either "release" or "release with conditions" space prior to permit issuance.) ❑ Commercial; ❑ New Construction; O Additional Sect rQ� ❑ Residential ❑ Bldg alteration/addition APPLICATION N 7d/ Release j Release w/cond 1 ; Hold 2 Conditions/ Comments* Planning/Zoning: ❑ Commercial; 0 Cert. of Exemption; 0 Frontage; N. 721 Jefferson 0 Setbacks; 0 lot w/d; 0 lot size; 0 use/zone; 0 CU, variance, zone change; shoreline; 0 fence; O Other Conditions /Com ments- Engineers: 0 Commercial; IN\ Residential; 0 Flood Plain; N. 811 Jefferson 0 drainage , newaccess/approach; 0 fence; 0 road improvements :onditions/Comments. Z 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for held • Utilities: N. 811 Jefferson Conditions / Comments- • Other: Plan Exam Fire Prev. Conditions/Comments. Information L1 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 SPOKANE COUNTY HOAR Rr PIST Cy tcdd,2 c�Ae�/ _ _ 4/77/7 ADDRESS r\ "l — — i1 - ,?V 1-0. ..1 • _ _ a N. 5002 Calvin Road LEGAL DESCRIPTION APPLICANT JOB # SCALE 'r. STYLE 3200 Lot 3 Block 2 Summerfield East Addn. Tupper Inc. 518 1" = 20' POWER WATER W.W.P. Trentwood