1986, 03-31 Permit App: 00011012 Residence,.
(THIS IS NOTA HERMIT)
BUILDING PERMIT APPLICATION WORKSHEET /;
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND .31 1
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 lt 2...
/IN
owner's Name LAST FIRST MI
TUPPER INC.
Project Address (Street Name & Number) Zip
N. 4908 Lucille Rd., Spokane, Washington 99216
Applicant
TUPPER INC.
Address
E. 12929 Sprague Ave.
City
Spokane
1 State
Washington
Zip
99216
Phone
(509 )928-1991
Business Phone
( 509 1928-1991
Contractor !Agent
TUPPER INC.
_
Address
E. 12929 Sprague Ave.
City
Spokane
State
Washington
Zip
99216
Phone
(509 )928-1991
Contact I License Number (Required)
Ken or Debbie 1 TUPPEIR179DC
Business Phone
(509 '928-1991
Arch itect I Engineer
Address
City
State
I Zip
Phone
( 1
Contact
Business Phone
1 )
Lender
Add ess
City
p�
State
Zip
Phone
1 1
cube Wark
SFR
Res.
1,�
Comm.
- Subdivision ;Ptat Name i Short Plat Number
SUMMERFIELD EAST 2nd ADDIITION
Assessor Parcel Number
3 54 4 —9o7s (ecIt-n0A
Lot
1
Block
11
Piat Number
Pertinent Fite NumbersZone
Comp. Plan
Census Tract
Number of Dwelling Units
1
Number of Buildings
1
Lot Size (Sq. Ft. 'Acre)
11,879
Depth )
j `i3
Frontage
7, t
Front Setback ')
Left Setback t
25
Right Setback
S
Rear Setback
Additional Information
996 main floor
IDEPARTMENT USE I
Square Footage
- 948 unfinished basement
484 garage
100 uncovered deck
1
E
Budding Technician
,.-\ U N.:j -
Date
3 71- g c,, ;
Group Type
3 ; 6 Ni
DEPARTMENTAL REVIEW
Approved
Cond.
Approval
Hold
Environmental Health
0 W. 1101 College
Room 200
Permit Number
Planning/Zoning
0 N. 721 Jefferson
Engineers
0 N.811 Jefferson
Permit Number
Utilities
0 N.811 Jefferson
0
0
Plan Review/Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Speclal 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 `7_7/eatC /may Date 21/2
-
3j
33..3
/GG-,PESS £aq
, 7a'
3.3.0
ADDRESS N. 4908 LUCILLE RD
STYLE 2200-D
LEGAL DESCRIPTION L1 811 SUMMERFIELD EAST 2nd ADDITION
APPLICANT TUPPER INC. POWER WWP
JOB # 599 WATER TRENTW00D
FHA CASE # SCALE 1" = 20'
PERMIT #