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1983, 07-03 Permit App: 00001140 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 learns part) (first) (m) Department Use Only Tupper Inc. J J. !Comm 2 Project Address (not Melling Address) or Road Name `?1. -/ 10,:).-" lX10 , ` 2/ Space Zip ( - OG) 99216 3 Qty/GbnrnunIty Spokane Sat. WA Subdivision/Plat Name Summerfield East Addn 4 Maes.or Parcel No. Portion of 35643-9072 Lot 5_ Block 1 * * * DEPARTMENT USE ONLY * * * 5 Sic Cods Zone Act. ! Zone Project No. 8 Dwell No. of Buildings Sq. Ft./Acre Depth Frontage 7 Set Bed -Fra+t (L)S-1 (R)S-2 Rear Cenaua 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 N. TUPPEIR179DC Phone If different than above ( ) 8 Owner/Apert (if different than 01 above) - Business Address 9 Zip City State Phone ( ) 12 Review Required N Ptan Check (Y/N) Y Other (Y/N) N SEPA Exempt (Y/N) N pate 4-25-84 15 Type Work c Bldg 0 Fire 0 MH ❑ Demo 21C New ❑ Add/ Alter C Replace ❑ Move Q1her b 1 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 Addreaa Zip City State Phone ( ) Contact Person Phone It different than above ( ) Additional Information - /010 ,- — 1u-71 r?"— 32( 4a /it` Fast Track/Special Insp. Application Type (Standard unless otherwise indicated) Fast Track Early Start DEPARTMENT APPROVALS This is nit a Permit (Indicated approvals required In either "release" or "release with conditions" space prior to permit issuance.) Environmental Health W. 1101 College Room 200 C Commercial; 0 Residential O New Construction; ❑ Bldg alteration/addition O Additional structure; APPLICATION #t l) q s3 Release Release w/cond 1 Hold 2 prifill i Ile i- ..41/..... 'El 1 Conditions / Comments• 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; ❑ CU, variance, zone change; shoreline; 0 fence; ❑ Other Conditions/Comments Engineers: 0 Commercial; 0 Residential; 0 Flood Plain; N. 811 Jefferson 0 drainage 0 new access/approach; 0 fence; O road improvements Conditions / Comments • 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• ■ c O 11.3 E `o c 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 i±fic) /a c e if (1' 7,4 Cro•,..tc c OCK) o I C if i/ ?0 d ADDRESS N. 4905 Calvin Road STYLE ..3A00 LEGAL DESCRIPTION Lot 5, Block 1 Summerfield East Addn. APPLICANT JOB # Tupper Inc. 506 SCALE 1" = 20' POWER W.W.P. WATER Trentwood SPO C.T.;;ITY FPTH DISTRICT