1985, 10-25 Permit App: 00008324 Residence• (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)
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Project Number tl�j3.
Owner's Name LAST FIRST MI
TUPPER INC.
Project Address (Street Name & Number) Zip
E. 14618 Olympic Ave., Spokane, Washington 99216
Applicant
TUPPER INC.
Address
E. 12929 Sprague Ave.
City
Spokane
State
Washington
Zip
_ 99216
Phone
(509 )928-1991
Business Phone
(509 )928-1991
Contractor i Agent
TUPPER INC.
Address
E. 12929 Sprague Ave.
City
Spokane
State
Washington
Zip
99216
Phone
(509 )928-1991
Contact
or Debbie
License Number (Required)
TUPPE I R179DC
Business Phone
( 509 ) 928-1991
_Jen
Architect/Engineer
Address
City
State
Zip
Phone
( I
Contact
Business Phone
( I
Lender
Add ess
City
State
Zip
Phone
l I
BibailYQl t<
Single Family Residence
Subdivision? Plat Marne/Short Plat Number
SUMMERFIELD EAST 1ST ADDITION
Assessor Parcel Number
35643-2602
Lot
2
Block
6
Plat Number
Pertinent File Numbers
Zone
Comp. Plan
Census Tract
Number of Dwelling Units
1
Number of Buildings
1
Lot Size (Sq. FL/Acre)
I Depth
Frontage
Front Setback
Left Setback
Right Setback
Rear Setback
Additional Information
1210 Main Floor
[ DEPARTMENT USE
Square Footage
1184 unfinished basement 34k, •ao
484 garage (• CO
15.00
3G2.• 5b
Building Technician
Date
Grpytp
T�
DEPARTMENTAL REVIEW
1 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 /2 _ ,j'- 5"�
Approved
Cond.
Approval
Hold
Environmental Health Permit Number '7,5----/F/6
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Ziiiii
W. 1101 College
Room 200
111
Planning/Zoning
N. 721 Jefferson
Permit Number
/O ,r2
Engineers
N. 811 Jefferson fiA/if--,?2—
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
1 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 /2 _ ,j'- 5"�
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ADDRESS E. 14618 Olympic Ave. STYLE 2200-C111
LEGAL DESCRIPTION L2 B6 SUMMERFIELD EAST FIRST ADDITION
APPLICANT TUPPER INC. POWER WWP
JOB # 571
FHA #
WATER TRENTWOOD
SCALE 1"=20'
ADDRESS E. 14618 Olympic Ave. STYLE 2200-C111
LEGAL DESCRIPTION L2 B6 SUMMERFIELD EAST FIRST ADDITION
APPLICANT TUPPER INC. POWER WWP
JOB # 571
FHA #
WATER TRENTWOOD
SCALE 1"=20'