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1985, 10-30 Permit App: 00008404 Residence(THIS IS NOTA PERMIT) '2 ZZ 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) .1d4Go J1"1MVV i.. Gn o mn r Vrl J rMf I IVICIY I ML VJC Project Number L5 4o4 1 V Owner's Name LAST FIRST MI TUPPER INC. Project � j drpstreet Name & Number) Zip Spokane, Washington E. 1.46222 Olympic Ave. 99216 Applicant TUPPER INC.E. Address 12929 Sprague Ave. City Spokane State Wasington Zip 99216 Phone (509 )928-1991 Business Phone ( 509 ) 928-1991 Contractor/Agent INC. Add ess E. 12929 Sprague Ave. _TUPPER City Spokane State Washington Zip 99216 Phone (509 )928-1991 Contact Ken or Debbie License Number (Required) TUPPEIR179DC Business Phone (509 )928-1991 Architect /Engineer Address City State Zip Phone ( ) Contact Business Phone ( ) Lender Address City State Zip Phone Describe Work Single family residence with double garage Res. Comm. Subdivision/ Plat Name/Short Plat Number IIu C _ 1 1,11 1k Assessor Parcel Number Portion of #35643-9076 3-7 6 `/.S - -21-43 Lot 3 Block 6 Plat Number Pertinent File Numbers Zone Comp. Plan Census Tract Number of Dwelling Units 1 Number of Buildings 1 Lot Size (Sq. Ft./Acre) 10,625 approx. Depth Frontage Front Setback I Left Setback Right Setback Rear Setback Additional Information 996 main floor finishes) DEPARTMENT USE Square Footage 464 3rd level j , ''`$ 484 4th lcvcl 484 garage ( 100 uncovered deck 1 Building Technician I Date Group 1 Type t DEPARTMENTAL REVIEW Planning/Zoning N. 721 Jefferson Engineers N. 811 Jefferson Permit Number Fit�A �lv� 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 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 ""-N 1 Date Cond. Approved Approval Hold Environmental Health W. 1101 College Room 200 Permit Number C - /7,4 /r �• ' MAA) J� �(iW Planning/Zoning N. 721 Jefferson Engineers N. 811 Jefferson Permit Number Fit�A �lv� 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 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 ""-N 1 Date J Z� p /oc _ J��aace- ,-1ti e.;7" rIc 6' 04 o /Cr°Q qr,l r /O' i7 ) /(6-1GE ' aa' :cr,LreYe' f n y ADDRESS E. 14622 OLYMPIC AVE. STYLE HOME 2200-D :-1 r• LA +! fj LEGAL DESCRIPTION L3 B6 SUMMERFIELD EAST FIRST ADDN. APPLICANT TUPPER INC. POWER w.W,P, JOB NO. 572 WATER TRENTWOOD FHA CASE NO. SCALE 1"=20'