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1984, 06-06 Permit App: 00000565 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 Nene (last) (first) (m) Tupper Inc. Dspertrtie %S Only Rn- ! Itornm 2 Protect Address (not Mailing Address) or Road Name Space Zip N. 5013 Calvin Road ;,08idJ;2) 99216 ' 3 City/Community Spokane State WA Subdivision/Plat Name Summerfield East Addn 4 Assessor Parcel No. Portion of 35643-9072 Lot 2 Block 3 * * * DEPARTMENT USE ONLY * * * 5 Sic Gads Zone Acta Zone Sf Q. Protect No. 6 Dweff 1 No. of Buildings Sq. Ft./Acre Depth Frontage 7 Set Balc-Front (L)S-1 (R)S-2 Rear Census Tract 1st Module No. Initials 16 Architect Finn Name Street Address Zip City State Phone ( ) Contac Person Phone if different Man above ( ) Contractor Firm Name Tupper Inc. Street Address East 12929 Sprague Ave Zip City 99216 1 Spc-kane State 4i.. Phone '509 ) 928"'991 Phone if different tr r sleeve ( ) Contact patio Ken Tupper or Debbie Kracher Ucaise No. TUPPEIR179DC 8 Owner/Agent (if different than 91 above) Business Address 9 Zip City State Phone ( ) 12 Review Required N Plan Check (YIN) Y Other (YIN) N SEPA Exempt (Y/N) N Date 5— 84 15 Type Work Bldg 0 Fire 0 MH 0 Demo C New 0 Add/Alter 0 Replace 0 Move p4-25-84 �—a2 blear e qa rage 14 Desvtbe 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 ( 1 Additional Information (it4 X C3 -i. Vtif 330 GOD 0 ti 6 484 0 el Az- Application Type (Standard unless otherwise indicated) Fast Track Early Start DEPARTMENT APPROVALS This is net 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• ❑ Commercial; ❑ New Construction; ❑ Additional structure; ❑ Residential ❑ Bldg alteration/addition APPLICATION N Release Release w/cond 1 Hold 2 to—co -bi 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; O CU, variance, zone change; shoreline; 0 fence; ❑ Other Conditions /Com men is• Engineers: 0 Commercial; 0 Residential; 0 Flood Plain; N. 811 Jefferson 0 drainage 0 new access/approach; 0 fence; O road improvements Conditions /Comments• Utilities: N. 811 Jefferson Conditions/Comments. Other: Plan Exam Fire Prev. Conditions / Comments Project Representative Telephone Agencies Performing Special Inspection: 1 3 1 Indicate above or attach conditions relative to final as built approval 2 Indkats above or attach reasons for hold ADDRESS N. 5013 Calvin Road STYLE LEGAL DESCRIPTION Lot 2 Block 3 Summerfield East Addn APPLICANT JOB # SCALE 2200-C1 Tupper Inc. 512 1" = 20' POWER W.W.I' WATER Trentwood