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1984, 06-12 Permit App: 00000999 ResidenceJ BUILDING 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 Nur past) (first) (m) Deportment Use Only Tupper Inc. Rms. Comm 2 Project Address Meiling Address) Space 22p (not a Road Name N. 5002 Calvin Road (Job #518) 99216 . 3 City/Community Spokane State WA Subdivision/Plat Nene Summerfield East Addn 4 Assessor Parcel No. Portion of 35643-9072 Lot 3 Block 2 * * * DEPARTMENT USE ONLY * * *ll 5 Sic Code Zone Act. If Zone Project No. l t /�, !/(/ 6 Dwetf No. of Buildings Sq. Ft./ Acre Depth Frontage 7 Set Bede -Front (L)S-1 (R)S-2 Rear r Census Tract Module No. Initials 16 Arrhkect Finn 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 Spokan' State WA Phone (509) 928-1991 Contact Perron Ken Tupper or Debbie Kracher License No. TUPPEIR179DC Phone If different than above ( ) 8 Owner/Agent (0 different than 91 above) Business Address 9 Zip City State Phone ( ) 12 Review Required N Plan Check (Y/N) Y Other (V/ N) N SEPA Exempt (Y/N) N Date 15 Type Work C Bldg 0 Fire 0 MH 0 Demo C Newe 0 Add/Alter 0 Replace 0 Move p4t-25-84 b 1 e garage 14 Daacribe 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 ( ) Contact Person Phone if different than above ( ) Additional Information 1202 mn floor 242 basement 484 double garage Fast Track/Special Insp. DEPARTMENT APPROVALS Ei • Application Type (Standard unless otherwise indicated) Fast Track Early Start 1 nis Is nota Permit (Indicated approvals required in either "release" or "release with conditions" space prior to permit issuance.) / Release Release w/cond 1 Hold 2 ❑ Environmental Health ❑ Commercial; ❑ ResidentialI W. 1101 College 0 New Construction; 0 Bldg alteration /addition Room 200 0 Additional structure; i+ t APPLICATION # '' g'. v 6'77 Conditions/ Comments* • Other: El 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• • Plan Exam D Engineers: ❑ Commercial; k Residential; 0 Flood Plain; ICA N. 811 Jefferson 0 drainage new 0 fence; WI Z- Fire Prev. pt access/approach; ❑ road improvements Conditions/Comments. 1 Indicate above or attach conditions relative to final as built approval 2 Indkate above or attach reasons for held • Utilities: N. 811 Jefferson Conditions/Comments. • Other: • Plan Exam Fire Prev. Conditions/Comments. 1 Information ❑ Project Representative Telephone Agencies Performing Special inspection: 1 2 3 1 Indicate above or attach conditions relative to final as built approval 2 Indkate above or attach reasons for held SPOKANE COUNTY IEA1TH1DSTRICT -70/ ADDRESS r /7 ,3S 1000 00.1 .24 • Lon ie*` • N. 5002 Calvin Road 1- ' LEGAL DESCRIPTION Lot 3 J STYLE 3200 Block 2 Summerfield East Addn. APPLICANT Tupper Inc. POWER W.W.P. JOB # 518 WATER Trentwood SCALE 1" = 20'