1984, 06-06 Permit App: 00000554 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 Nem. part) (first) (m)
Tupper Inc.
papsrt Only
Ree. V
I++
2 Project Address (not Moiling Address) or Road Name Space Zip
N. 5009 Calvin Road (Job #511) 99216
' 3 City/Community
Spokane
State
WA
Subdlvleior:(Plat Name
Summerfield East Addn
4 Asse sor Parcel No.
Portion of 35643-9072
Lot
3
Block
3
* * * DEPARTMENT USE ONLY * * tit
5 Sic Code
Zone Act. N
SF b
F_
Project No. � i� /
l/
6 Dwell If
No. of Buildings
Sq. Ft./Acre
Depth✓}
Frontage
7 Set Bads -Front
(L)S-1
(R)S-2
Rear
Census 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 I"'State
9921 Spok�r? 1.11%(50(?.
I Phone
) ':228—/991
-_ _I .__. ..
Conte Pbrecm cr rwr f41 .
Ken Tupper or Debbie Kracher TUPPEIR179bC
i=-ione if c t erenc tgan aoi:ve
I -( ) z
8 Owner/Agent (If different ttian 91 above)
Business
Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan Check (Y/N)
Y
Other (Y/N)
N
SEPA Exempt
(YIN)
N
Date
4-25-84
15 Type Work ❑x Bldg
0 Fire
0 MH
0 Demo
L New
0 Add/Alter
0 Replace
0 Move
Qther
bre 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 .{IL
►2o z V *if 4+ X3.1
242 Itgb 46 tA15
4 g4. 4' area-
ED
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
Conditions/Comments-
Planning/Zoning:
onditions/Comments-
❑ Commercial;
❑ New Construction;
O Additional structure;
O Residential
❑ Bldg alteration/addition
APPLICATION
Release
Release
w/cond 1
Hold 2
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; ❑ Residential; 0 Flood Plain;
N.811 Jefferson 0 drainage 0 new access/approach; 0 fence;
O road improvements
Conditions / Com menta -
Utilities:
N. 811 Jefferson
Conditions/Comments.
Other:
0
Information
Plan Exam
Fire Prev.
Conditions/Comments•
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1 Indicate above or attach conditions relative to final as bulit approval
2 Indicate above or attach reasons for held
7.4
_ if _AL 7_,i1
113.00
'
-
_leplahAnutai
' •
10001
2.00'
R9 ak
A4'
11'
0
0
1 (•,
• Concre/t. •
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•
2f.41
7 7
-7
.27.6
7-7 as
ADDRESS
cAt_40/4 _kooit)
10.7..A; MSTZTT
N. 5009 Calvin Road
LEGAL DESCRIPTION
APPLICANT
JOB #
SCALE
STYLE 3200
Lot 3 Block 3 Summerfield East Addn.
Tupper Inc.
511
1" 20'
POWER W -W -P -
WATER Trentwood
a. s;74-eall 1/64/