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
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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
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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
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ADDRESS E. 14622 OLYMPIC AVE. STYLE HOME 2200-D
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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'