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1986, 04-28 Permit App: 00010773 Garage
F (THIS IS NOTA PERMIT) BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND COMPLETE IN INK (Please return this original and your building plans to the Department of Building and Safety) SHADED AREAS ARE FOR DEPARTMENTAL USE Project Number o / `"7 7 --3Owner's Name LAST FIRST MI Tupper Inc.• Project Address (Street Name & Number) Zip N. 4821 Burns Road 99216 Applicant TUPPER INC. Address E 12929 Sprague Ave City Spokane State WA Zip 99216 Phone (509 ) 928-1991 Business Phone (509 ) 928-1991 Contractor / Agent Tupper Inc. Address E. 12929 Sprague Ave City Spokane State WA _ Zip 99216 Phone ( 509) 928-1991 Contact Ken or Debbie License Number (Required) TUPPEIR179DC Business Phone ( 509) 928-1991 Architect/Engineer Address City State Zip Phone ( ) Contaoj Business Phone ( ) Lender Address City State Zip Phone ( ) il rs �i'1 coLet 6459076 18 6 01206A' bete Coa►P. i�Yn. Como Tract Q F• Iii r af O asIHngtkdts -: _1 _ Number of Buikttngs 1 Lot Size (Sq. Ft. /Acre) hepta �Frontape 12.E 8 © ` . etbsck • 576sQ foot. garage '1:.DEPARTMENT USE Square F �`� b .---/Zm(.? C,Sr-.) "73.50 g�. 'tr.a M w 3y z q 1" 7 '� - - -. - .. X a 3 `:.. - - «.yet. - ;,. DEPARTMENTAL REVIEW / J —] • pproved Approval Cond. Approval Environmental Health Permit Number j r /fa\\ 44 Fe lf ffil W. 1101 College Room 200 Planning/Zoning N. 721 Jefferson / Permit Number ``�' ?/,?Q1$'� Engineers N. 811 Jefferson ,91 ��oZO� • Utilities N. 811 Jefferson Plan Review/Fire Prevention N. 811 Jefferson Other (SEPA/ Critical Material /etc.) Fast Track/Special Inspection Information Project Representative Phone Address I certify that I have examined this application and state that the information contained in it and submitted by me or my agent is true, correct, legal, and binding. Owner's Signature Date Sal So • Go ' ro ' LO' • t` - • Lod -73'1 ADDRESS N. 1+813 BURNS RD. STYLE HOME 3200 LEGAL DESCRIPTION 118 B6 SUMMERFIELD EAST FIRST ADDN. APPLICANT TUPPER INC. POWER W,W,P, JOB NO. 531 WATER TRENTWOOD FHA CASE NO. SCALE 1"=20'