1984, 10-04 Permit App: 00002665 ResidenceBUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
Solemn return this original and your building plans to the Department of Building and Safety)
1 Owner's Pawns Owe) (first) 00 Dlpartnnrtrrt
Tupper Inc. �R"
Comm
2 Project Address (not Meiling Address) or Rosd Name Spese Zip
E.14706 Olympic Ave. 99216
3 City/CP r nunity
Spokane
Stale
WA
Subdivision/Plat Name
Summerfield East 1st Addn.
4 Assessor Fermi No.
LotBlock
r
Portion of 35643-9076
4.--
i
1O
* * * DEPART*AEliTt18EONLY * * *
5 Silo Code
Zone Act. a
Zone
Project No.
6 Dwell If
No. of Buildings
Sq. Ft./Acre
Depth
Frontage
7 Set Back -Front
(L)S-1
(R)S-2
peer
Census Tract
Module No.
.,*
Initials
16 Arcirftect Firm Name
Street Address
Zip
City
State
Phone
( )
°Protect Person
.
Phone 11 different thri above
( )
°Premolar Firm Name
Tupper Inc.
Street Address
East 12929 Sprague Ave
Zip
99216
City
Spokane
Stale
WA
Phone
(509 ) 928-1991
Contact Person
License No.
If
Ken Tupper or Debbie Kracher
TUPPEIR179DC
Pion different then above
( )
8 Owner/Agent (If different then 81 above)
Business
Address
9 Zip
City
State
Phone
( )
12 Review Partaker'
N
Plan
Check N/N)
Y
Other (Y/N)
N
SEPA
i
Exempt (YIN) Date
Vide
N 4-25-84
15 type Wort ii(
0
Bldg
Fire
0 MH
❑ Demo
I New
❑ Add / Atter
0 Replace
❑ Move
e ga rage
14 Describe Work
Single Family Residence
with double garage
10 Applicant Nome
Tupper Inc.
Street Address
East 12929 Sprague Ave
11 ZIP
99216
City
Spokane
State
WA
'Phone
(509 )928-1991
Lander
Street Address '
Zip
City
State
Phone
( )
Contact Person
Phone If different than above
( )
Additional Information
996 Main floor
948 unfinished basement
484 garage i)6 1/66e/ ,,,,-./. J
100 uncovered deck
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is rj a Permit
(Indicated approvals required in either 'release' or "release with conditions'
space prior to permit issuance.)
Environmental Health 0 Commercial; 0 Residential
W. 1101 College ❑ New Construction; 0 Bldg alteration /addition
Room 200 0 Additional structure;
APPWATION I gl // iO3
Conditions/Comments. G/ems 1,/,t 1./ 4t9./i,•
Release
Release
w/pond 1
Hold 2
//f/itv
Planning/Zoning: ❑ Commercial; 0 Cert. of Exemption; 0 Frontage;
N. 721 Jefferson 0 Setbacks; 0 lot w/d; 0 lot size; 0 use/zone;
❑ CU, variance, zone change; shoreline; 0 fence;
❑ Other
,,•Conditions/Comments•
Engineers: 0 Commercial; 0 Residential;
N.811 Jefferson 0 drainage 0 new access/approach;
O road improvements
Conditions/Comments
❑ Flood Plain;
❑ fence;
o
UtUities:
N. 811 Jefferson
Conditions/Comments
1
Other:
Plan Exam
Fin Prev.
Conditions/Comments-
Project
onditions/Comments-
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for held
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30'
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ADDRESS E. 14706 OLYMPIC AVE.
LEGAL DESCRIPTION
APPLICANT TUPPER INC.
STYLE HOME
L5 B6 SUMMERFIEJ,D EAST FIRST ADDN.
JOB NO. 574
POWER
W.W.P.
WATER
TRENTWOOD
FHA CASE NO. SCALE V'=?0
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