1984, 08-31 Permit App: 00002045 Residence•
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 Nemo OM) (first) (m) Deprrtment ll)s Only
Tupper Inc. Res. t/ 1Comm
1
2 Project Address (riot Meiling Address) or Rood Name
/69-19-/- 5S JO OL y/'l/'/C: 4 il/ A,!r.' l
Space Zip
//7/_7(,.6 �7 99216
3 Oty/Conrrwnity
Spokane
State
WA
Subdivision/Plat Name . 15t Add
Summerfield East 10414
4 Aeeeoeor Parcel No.
Portion of 35645=907/7
Lot
1
Block
6
* * * DEPARTMENT USE ONLY
5 Sic Code
Hone Act. 0
Zone
Project No.
6,1>
r 8 Dwell
No. of Buildings
k
Sq. Ft./Acre
th
Frontage
7 Set Back -Front
(1)S-1
(R)S-2
Rear
Census Tract
Module No.
I e5
' 16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different then above
( )
Contractor Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zip
99216
City
Spokane
State
WA
Phone
(509 ) 928-1991
Contact Person
Ken Tupper or Debbie Kracher
License No.
TUPPEIR179DC
Phone if different then above
( )
8 Owner/Agent (If different than 81 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan Check (Y/N)
Y
Other (Y/N)
N
SERA Exempt (YIN)
N
Date
-25-84
15 Type Work ox Bldg
0 Fire
❑ MM
0 Demo
L` New
0 Add/Alter
0 Replace
❑ Move
b 1p4t e ga rage
14 Describe Work
•
1=nntinoc F_ fnundat inn only
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
( )
Contact Person
Phone If different than above
( )
Additional Information r
Fast Track/Special Ins
DEPARTMENT APPROVALS
•
❑
•
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
This is nj a Permit
(Indicated approvals required in either 'release' or 'release with conditions'
space prior to permit issuance.)
Release
Release
w/cond 1
Hold 2
❑
Environmental Health 0 Commercial; 0 Residential
W. 1101 College 0 New Construction; 0 Bldg alteration/addition
Room 200 0 Additional structure;
4
' , 4k,,,-,
{
pf /OP"—
APPLICATION fi 1 — i
,,
,
O . i
/0
1
Conditions/Comments- 1 /I/,#iA1am... i,.4 l v, I. A A. d. .i 4 A"..
D % /
JP
❑
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;
✓22'¢
�f /
r
I
0 CU, variance, zone change; shoreline; 0 fence;
0 Other
/
Co%nditions/Com •.•..............,... - ,••.!.' .. - ,, —,.
�G��
`nts•
;
dz,J 00 216
•
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain;
I
/�
p
N.811 Jefferson 0 drainage 0 new 0 fence;
access/approach;
❑ road ig�prove�ents �'� - /;
:f oc\ /Q
Conditions/Comments.� � r .
t-�
•
Utilities:
N. 811 Jefferson
Conditions/Comments'
•
Other:
D
Plan Exam
Fire Prev.
Conditions /Comments •
•
Project Representative Telephone
c
Agencies Performing Special Inspection:
1
0
a
E
`o
2
c
c
3
1 Indicate above or attach conditions relative to final as built approval
2 Indlcate abov* or attach reasons for hold
OLYM/�/ . AY&NuE
STYLE HOME 3_2 DD
LEGAL DESCRIPTION - L) 6 b Surrrn e4d E s+ Js+ Add; 'HO 1
APP L I CANT 1-1,/ P ER�i JAI C . POWER W W R
JOB NO. 5 90 .. WATER �('e%` LOC D
FHA CASE NO.
SCALE 1"=20'
.✓03.,G��
'
S( e,/ZIG,crntjit
1
— ► (1 L — — PPa lacemr/ er — — _ — -
77'
Ie00 cyal
oo' dror{ie/.L
ti
ADDRESS
J4,
4116„
73.77
35'
/L44fJ'T
&YMP/c Av 'Nu.E
.254.
STYLE HOME 3; CD
LEGAL DESCRIPTION L) U Y/ 5u m mEI�4 e J E, 5+ )s+ ACh J' - o,
APPLICANT
JOB NO.
ruPPi ZNC•
FHA CASE NO.
POWER
WATER
WwP
1 CCN -j uUDC D
SCALE 1"=20'
S>4./—/o/