1985, 10-25 Permit App: 00008332 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 fr-5Z�
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Owner's Name LAST FIRST MI
TUPPER INC.
Project Address (Street Name & Number) Zip
E. 14705 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! Agent
TUPPER INC.
Address
E. 12929 Sprague Ave.
City
Spokane
State
Washington
Zip
99216
Phone
(509 )928-1991
Contact
Ken or Debbie
License Number (Required)
TUPPEIR1Z9DC
Business Phone
(509 )928-1991
Architect /Engineer
Address
City
State
Zip
Phone
( )
Contact
Business Phone
( 1
Lender
Add ess
City
State
Zip
Phone
1 )
Mllarh
Single. Family Residence
floe.
Co n
Subdivision/Plat Name/ Short Plat Number
SUMMERFIELD EAST 1ST ADDITION
Parcel Number
643-2504
Lot
4
Block
5
Ptat Number
Pertinent File Numbers
Zone
Comp. Plan
Census Tract
Number of Dwelling Units
1
Number of Buildings
1
Lot Size (Sq. FL/Acre)
11,280
Depth
Frontage
Front Setback
Left Setback
Right Setback
Rear Setback
Additional information
1236 main floor 504,2...0C)'
tDEPARTMENT USE
Square Footage
870 unfinished basement 1,
484 garage 1 S. 0 0
368.30
Building Technician
Date ;
GroupType
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 Z,
Cond.
Approved Approval
Hold
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Environmental Health Permit Number S 71/'V
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W. 1101 College
Room 200
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Planning/Zoning
N. 721 Jefferson
Permit Number
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Engineers
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N. 811 Jefferson %/f7.4' l 7,P---
.
utilities
N. 811 Jefferson
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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 Z,
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ADDRESS E. 14705 Olympic Ave. STYLE 3200
LEGAL DESCRIPTION L4 B5 SUMMERFIELD EAST 1ST ADDITION
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APPLICANT TUPPER
JOB # 565
POWER WWP
WATER TRENTWOOD
FHA CASE # SCALE 1"=20'
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ADDRESS E. 14705 Olympic Ave.
LEGAL DESCRIPTION L4 B5 SUMMERFIELD EAST 1ST ADDITION
STYLE
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3200
APPLICANT TUPPER POWER WWP
JOB # 565 WATER TRENTWOOD
FHA CASE # SCALE 1"=20'