1984, 11-29 Permit App: 00003548 ResidenceBUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF TH€ FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Nome (m)
Art) (first) Orpartrnant Use Only
Tupper Inc. 1 RN.,/ 1Comm
2 Project Address (riot Mailing Address) ar Rood Name Space ZtP
N. 4813 Burns Rd. 99216
3 City/Community
Spokane
State
WA
Subdivision/Plat Name
Summerfield East 1st Addn.
4 Armor Parcel No.
Lot
Block
Portion of 3564. 9076
1 8
6
* * * DEPARTMENT USE ONLY * * *
5 Sic Code
Zona Act. 0
Zone
�frz
Project No.
55-418
6 Dwell*
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Sat Bads -Front
(L)S-1
(R)S-2
Rear
Census Tract
Module No.
In
r 16 Architect Finn Name
Street Address
Zip
Oty
State
'Phone
( )
Contact Person
Phone if different then
•
above
( )
Strait
Address
Contractor Firm Name
Tupper Inc.
East
12929 Sprague Ave
Zip
99216
City
Spokane
State
WA
Phone
(509 ) 928-1991
Contact Parson
Ken Tupper or Debbie Kracher
License No.
Phone N different than
TUPPEIR179DC
above
( )
8 Owner/Agent (If different then 01 above)
Business
Address
9 Zip
Qty
State
Phone
( )
12 Riviera Required
N
Plan
Check (YIN)
Y
Other (YIN)
N
EEPA Exempt
(YIN) c:sats
N -25-84
15 Type Work dl
0
Bi de
Fire
0 MW
0 Deno
I New
0 Add/Alter
0 Replace
❑ Move
pot
b 1 e garage
14 Osscrlbe Work
Single Family Residence
with double garage
10 Applicant Name
Tupper Inc.
Strut
East
Address
12929 Sprague Ave
11 Zip
99216
City
Spokane
State
WA
Phone
(509 )928-1991
Lander
Street Address
Zip
City
State
Plane
( )
Contact Person
weimmemilsweelip
Phone if different than above
( )
Additional information
1202 Main floor 3� f
324 Unfinished 3rd level
484 Double garage
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is gl a Permit
(Indicated approvals required In either 'release' or 'release with conditions'
specs prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
Conditions / Comments•
❑ Commercial;
❑ New Construction;
❑ Additional structure;
APPLICATION 8
❑ Residential
❑ Bldg alteration/addition
Release
Release
w/cond 1
Hold 2
rit-
Planning/Zoning: ❑ 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
.,:.'nditions / 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.
UtIIltNs:
N. 811 Jefferson
Conditions/Comments-
Other:
onditions/Comments
Other:
Plan Exam
Firs Prev.
Conditions /Comments'
Project Representative Telephone
Agencies Performing Special Inspection:
1
1 Indicate above or attach conditions illative to final as built approval
2 Indicate above or attach reasons for held
1.1011,
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ADDRESS N. 4813 BURNS RD.
STYLE HOME
200
LEGAL—$ESC-R-I-PT-I ON ---118 B6 SUMMERF-t ELD -EAST FIRST ADDN .
APPLICANT TUPPER INC.
JOB NO.
531
POWER
W.W.P.
WATER
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