1983, 07-03 Permit App: 00001133 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 OwmeeNems M) (first) (m)
papertrrbnt`� Only
Tupper Inc.
R1°. f/ 'Comm
2 Pro)ect Address (not Mailing Address) o Rood Name Space Zip
�. // 9914.?(-bAl.". l'.1`( // � a - ...5-0,6) 99216
3 qty/Community
Spokane
State
WA
Subdivision/Plat Name
Summerfield East Addn
4 Assessor Paroel No.
Portion of 35643-9072
Lot
3
Block
1
I * * * DEPARTMENT USE ONLY * * *
5 Sic Gods
Zees Act. 0
Zone Project No.
6 Dwell I
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Beek -Front
(L)S-1
(R)S-2
Rear
Conus Tract
Module No.
Initials 1
0
s 18 Architect Firm Name
Street Address
Zip
Oty
State
- Phone
( )
Conte Person
Phone If different then above
( )
Contractor Firm Name
Tupper Inc.
Street
East
Address
12929 Sprague Ave
Zip ( City
99216 ) Spokane
Stets
WA
Phone
(509 ) Q28-1991
Contact Person
Ken Tupper or Debbie Kracher
License No.
TUPPEIR179DC
Phone It '.ffere'; rne-. -rove
( )
8 Owner/Apert (if different than #1 oboes)
Business
Address
9 Zip
City
State
Phone
(
12 Review Required
N
Plan
Check (Y/N)
Y
Other (Y/N)SEPA
N
Exempt
I
(YIN)
N
Date
4-25-84
15 Type Work dt
0
Bldg
Fire
0 MI -1
0 Demo
L5 New
0 Add/Alter
0 Replace
❑ Move
ole 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
( )
Contact Person
Phone If different than above
( )
Additional Information
/G2C 7&
71L- -/ 3
& 11 f ,5/72.
1/I 7aizz
Fast Track/Spec
0
0
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is nQt a Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
0
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
❑ New Construction;
❑ Additional structure;
Li-- Q'
APPLICATION #
❑ Residential
o Bldg alteration/addition
Release
Release
w/cond 1
Hold 2
Utilities:
N. 811 Jefferson
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
1 Indicate above or attach conditions relative to final u built approval
2 Indicate above or attach reasons for held
❑
Utilities:
N. 811 Jefferson
Conditions / Comments:
❑
Other:
0
•
Plan Exam
Fire Prev.
Conditions/ Comments-
0
c
0
re
E
0
Protect Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1
1 Indicate above or attach conditions relative to final u built approval
2 Indicate above or attach reasons for held
•
72'
_ _ -
,
/.2-. 7
I I
1 c 1 ..2.- •' ....if,,.,.,,,
L-..• .
7--
•
4.jood
ADDRESS N. 4913 Calvin Road
LEGAL DESCRIPTION
APPLICANT
JOB #
SCALE
STYLE .22 06-c
Lot 3 Block 1 Summerfield East Addn.
Tupper Inc.
508
1' = 20'
POWER W.W.P
WATER Trentwood
SPOKANE MEW EEPITH LiSTCT