1984, 08-31 Permit App: 00002046 ResidenceBUILDING 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 Name OW)
Tupper Inc.
2 R Address (not Mailing Address) or Road Name
3 qty/Commnity
Spokane
(first)
(m)
Llsprtment Liss Only
Rae. ✓ 1 Comm
4 Assessor Parcel No.
Portion of 35645-907fo
5 Sic Code
Zone Act. N
Lot
3
State
WA
Space Zip 99216
r. / /2/7
Subdivision/Plat Name
Summerfield East 1st Adde►. 12 cx_
Block
5
Zone
S'F
* * * DEPARTMENT USE ONLY it * it
Project No.
6 Dwell If
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Back -Front
(L)S-1
(R)S-2
Rear
Census Tract
Module No.
16 Architect Firm Name
Street Address
Initials
r0
Zip
City
State
Phone
( )
Contact Person
Phone If different than above
( )
Contractor Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Bp
99216
City
Spokane
State
WA
Phone
(509 ) 928-1991
Contact Person
Ken Tupper or Debbie Kracher
8 Owner/Agent (If different Man #1 above)
License No.
TUPPEIR179DC
Phone If different than above
( )
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan Check (Y/N)
Y
Other (Y/N)
N
1 SEPA Exempt (Y/N)
N
15 Type Work
C Bldg
0 Fire
❑ MH
❑ Demo
( New
0 Add/Alter
❑ Replace
❑ Move
VDate
4-25-84
ble garage
14 Describe Work
Linti nnc f fniindat- inn . nnty
10 Applicant Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
11 Zip
99216
sty
Spokane
State
WA
Phone
(509 )928-1991
Lender
Street Address
Zip
City
State
Phone
( 1
Contact Person
Phone If different than above
)
Additional Information
546 ` 1.1F5
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This isjgja Permit
(Indicated approvals required In either 'release' or 'release with conditions'
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
Conditions/Comments.
❑ Commercial;
❑ New Construction;
O Additional structure;
APPLICATION ff
❑ Residential
❑ Bldg alteration/addition
Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage;
❑ Setbacks; 0 lot w/d; 0 lot size; 0 use/zone;
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
N. 721 Jefferson
Release
Release
w/cond 1 Hold 2
MI
Fiji
'4p, i .44. Ill
Engineers: 0 Commercial;
N. 811 Jefferson 0 drainage
Condltions/Comments
❑ Residential;
❑ new access/approach;
❑e ce�d impr• ements •
❑ Flood Plain;
❑ fence;
Utilities:
N. 811 Jefferson
Conditions/Comments
Other:
Plan Exam
Fire Prev.
Conditions /Comments
Project Representative
Agencies Performing Special Inspection:
1
2
3
Telephone
1 indicate above or attach conditions relative to final as built approval
2 indicate above or attach reasons for hold
Oz,V,Io/c gy l iE
STYLE HOME 7
ADDRESS j` p
LEGAL DESCRIPTION.,• .1-3 85 Summer -Pie -6 ��St J i'/dr"/-
APPLICANT Y ' [ 1 POWE R \AI VV.
WATER 1 RE L1 t ih r'
JOB NO. Sby
FHA CASE NO.
SCALE 1"=20'
ADDRESS
ko.ao
G /'/'D /1 01,VMf'/C 4YEAluE
STYLE HOME ? �i
LEGAL DESCRIPTION .• .. _ 3 g 5 &umrn .r4'ie6 fxSt J -t Pd ! � 4
APPL I CANT 7-i SPE R N C.
JOB N0. .Si)y
FHA CASE NO.
POWER ' W
WATER J RE N `- Vi(;
SCALE 1"=20'
fi--/o/3