1985, 11-20 Permit App: 00008837 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 CC' 37
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 Avenue
City
Spokane
State
Washington
Zip
99216
Phone
(509 ) 928-1991
Business Phone
(509 ) 928-1991
Contractor /Agent
TUPPER INC.
Address
E. 12929 Sprague Avenue
City
Spokane
State
Washington
Zip
99216
Phone
(509 )928-1991
Contact
Ken or Debbie
License Number (Required)
TUPPEIR179DC
Business Phone
(509 )928-1991
Architect I Engineer
Address
City
State
Zip
Phone
( i
Contact
Business Phone
1 )
Lender
Address
City
State
Zip
Phone
( 1
Single Fami ly Resitienc'
�ibdivte4 / Ptat fame/.art Ptat Number
SUMhiERFIELD EAST FIRST ADDITION
"-col Nurnbar
8toc
5
Plat Number
45643-2504'
Pertinent r-lta Numbers
Comp. Ptah
Census Tract
dumber of Ow ting Units
1
Number of Buildings
1
Lot Size (Sq. Ft./Acre)
Depth
Frontage
Front Setback
Left Setback
Right Setback
Rear Setback
Additianl Information
99 ., 6main floor
_ DEPARtMENT USE J
Square Footage
948 unfinished basement
484 •ar. •
:Building Technician
Date
Group
I Type
DEPARTMENTAL REVIEW
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
Date
Approved
Cond.
• pproval
Hold
Environmental Health Permit Number
11 /' A
r0
IIII'"'
W. 1101 College
Room 200
Planning/Zoning
N. 721 Jefferson
Permit Number
//
Engineers
N. 811 Jefferson %"�A" 6
Utilities
N. 811 Jefferson
Aminennawaiimi
OIMMIMPINIMMII
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
Date
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ADDRESS E. 14705 Olympic Ave. STYLE 2200-B
LEGAL DESCRIPTION L4 B5 SUMMERFIELD EAST 1ST ADDITION
APPLICANT TUPPER POWER WWP
JOB # 565 WATER TRENTWOOD
FHA CASE # SCALE 1"=20'