1985, 07-26 Permit App: 00006561 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 Name (last) (first) (m)
Llpartrtlent Use ly
Tupper Inc.
Res
Comm
2 Project Address (not Melling Address) a Road Name Space Zip
E. 13710 - .16th Avenue
3 Cly/Community
Spokane
State
Wash '
Subdivision/Plat Name
Valley View Heights Addition
4 Assessor Parcel No.
27541-0804
Lot
4
Block
1
•* * * DEPARTMENT USE ONLY * * *
5 Sic Code
Zona Act. M
Zone
Project No. 6553
6 Dealt If
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Bak -Front
(L)S-1
(R)S-2
Rear
Gnus Tract
Module No.
Initials
16 Architect Firm Name I Street Address
Zip
Cly
State
Phone
Contac Person
Phone If different than above
( 1
Contractor Firm Name
Tupper Inc.
Street Address
E. 12929- Sprague
Zip
99216
Clty
Spokane
State
Wash
Phone
( 509) 928-1991 •
Contact Person
Ken or Debbie
License No.
TUPPEIR179DC
Phone If different than above
( )
8 Owner/Agent (If different than 01 above)
Susi ess Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan Check (Y/N)
Y
Other (Y/ N)
N
SEPA Exempt (YIN)
N
Date
7—/D—'3'
15 Type Work )(I Bldg
0 Fire
0 MH
0 Demo
EX New
0 Add/Alter
0 Replace
0 .Move
0 Other
14 Describe Work
Single Family Residence _
10 Applicant Name
Street Address
11 Zip
City
State
Phone
1 1
Lender
Street Address
Zip
City
State
Phone
1 1
Contact Person
Phone if different than above
Additional Information
979 Main Floor
932 Unfinished Basement
32 Uncovered Deck
Application Type'
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is nota 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;
APPLICATION #
❑ Residential
❑ Bldg alteration/addition
t.
Release
Release
w/cond 1
Hold 2
n/ E
/14.447 rinfilwite-evreer:
Planning/Zoning:
N. 721 Jefferson
❑ Commercial; 0 Cert. of Exemption; 0 Frontage;
❑ Setbacks; 0 lot w/d; 0 lot size; 0 use/zone•
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
Conditions/Comments-
Engineers:
onditions/Comments-
Engineers:
N. 811 Jefferson
0
0
Conditions /Comments'
Commercial;
drainage
road improvements
O Residential;
f/Y%---4/37
0 Flood Plain; I /o- I
O new access/approach; 0 fence;
7 -
Utilities: Utilities:
N.811 Jefferson
Conditions/Comments'
Other:
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 built approval
2 Indicate above or attach reasons for hold
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ADDRESS E. 13710 - 16th
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VC Asvm 17-3o;y `I
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STYLE HOME 979C5
LEGAL DESCRIPTION L4 81 VALLEY VIEW HEIGHTS ADDITION EXCEPT the EAST 11FEET THEREOF
POWER VERA POWER
APPLICANT TUPPER INC.
JOB H 806
FHA CASE N
WATER VERA WATER
SCALE 1"=20'