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1984, 08-31 Permit App: 00002049 ResidenceBUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND (Please return thin original and your building plans to the Department of Building and Safety) 1 Omura Nana (fast) (first) (m) ly Deportment as OnOmuraTupper , Inc. Rm./I I Comm 2 Prujert Address (not Mailing Address) a Road Name Space Zip East 14622 Olympic Ave. (Job #573) Spokane WA. 99216 3 City/Cotrrmxdty Spokane State WA Subdivision/Plat Name Summerfield East 1st Addn. 4 Assnsor Patel No. Portion of 35643-9072 Lot 4 Block 6 * * * DEPARTMENT USE ONLY * * 1r 5 Sc Code Zane Act. 0 Zone e..,,f.(2._f_q ProjectNo. :2_____e, 6 Dwell N l No. of Buildings Sq. Ft./Acre Depth Frontage 7 Set Bads -Front (L)S-1 (R)S-2 Rear Census Tract Module No. Initis� �/J cit._ 16 Ar itect Firm Name Street Address Zip City State Phone ( 1 Contact Person Phone 11 different than above ( ) Contractor Firm Name Tupper Inc. Street Address East 12929 Sprague Ave Zip 99216 City Spokane State WA Phone (509 ) 928-1991 Contact Parson Ken Tupper or Debbie Kracher License No. TUPPEIR179DC Phone If different than above ( ) 8 Owner/Agent (If different than N1 above) Business Address 9 Zip City State Phone ( ) 12 Review Required N Plan Check (Y/N) Y Other (YIN) SEPA Exempt (YIN) N N I Dads 4-25-84 15 Type Work DX Bldg 0 Fire 0 MH 0 Demo [ New 0 Add/Alter 0 Replace 0 Move b 1 h ga rage 14 Describe Werk / S 771((/////4i w�/�,' ei r./(/ /,Z/»7 2� 10 Applicant Name Tupper Inc. Street ddress 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 \ \4-(— AA F , 62v CA r4 B 'f N 5 Fast Track/Special Ins 1 DEPARTMENT APPROVALS ■ • Application Type (Standard unless otherwise Indicated) Fast Track Early Start 1 nis is jj 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; ,�1 j�/ 17/-100 APPLICATION0 T `CCJ`�'1�' Conditions/ Comments- /0� Ala ' Al.I . .i I �. ' _.:01—.// �A, 1 of 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; 0 CU, variance, zone change; shoreline; 0 fence; ❑ Other Conditions/Comments. • • Engineers: 0 Commercial; 0 Residential; 0 Flood Plain; N. 811 Jefferson 0 drainage 0 0 fence; .4, new access/approach; ❑ road improvements Conditions/Comments. ,c'A''A -..5-2,...? • Utilities: N. 811 Jefferson Conditions/Comments. 1111 Other: E Plan Exam Fire Prev. Conditions/Comments. Informatlon ❑I Project Representative Telephone Agencies Performing Special Inspection: 1 2 3 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for held 9 .06 e L - 4/6' — eePkse nLerti - '.2 — /cocoa/ . Pico ' ci'/o//)-iie i ADDRESS: / 4/ o? 2 (J/!//777%/L LEGAL DESCRIPTION STYLEc-J. CJ L a 7- A/ .e/e) LJ Um/1Lf.� e /e �cS �/ s 7( /57n7/-<_. APPLICANT /(L/0/621.� JOB NO X73 SCALE 1" = 20' approx. POWER LU a/ /' WATER 72 2 7�GUCG'CL