1985, 09-04 Permit App: 00007443 Residence(THIS IS NOT A 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)
J FiAUtU AtitAJ AIYt rUM LJCF'AIS 1 MCN 1 ML UDC
Project Number,j-t 43
'y
Owner's Name LAST FIRST MI
TUPPER INC..
Project Address (Street Name & Number) Zip
E. 14717 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 )928-191
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)
TUPPEIR179DC
Business Phone
(509 )928-1991
Architect /Engineer
Address
City
State
Zip
Phone
( )
Contact
Business Phone
( )
Lender
Address
City
State
Zip
.Phone
Describe Work
Single family residence with double garage
Res.
Comm.
Subdivision/ Plat Name/Short Plat Number
SUMMERFIELD EAST 1ST ADDITION
Assessor Parcer Number
Portion of #35611-3-90-76 mjS644 - -2-51)%
Lot
6
Block
5
Rat Number
Pertinent File Numbers
Zone
Comp. Plan
Census Tract
Number of Dwelling Units
1
Number of Buildings
1
Lot Size (Sq. Ft./Acre)
Depth
Frontage
Front Setback
Lett Setback
Right Setback
Rear Setback
Additional Information
996 main floor finished
DEPARTMENT USE
Square Footage
464 3rd level unfinished 3i(.oc'
484 4th level finished l . S0
484 garage cc, "`)
100 uncovered deck 31)=1,S0
Group
T`/ice'
Building Technician
Date
Nps
-
DEPARTMENTAL REVIEW
{ g
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Approved
t'
�,�`
Cond.
Approval
Hold
�—/a/
0Environmental Health Permit Number
W. 1101 College
Room 200
Planning/Zoning
N. 721 Jefferson
Permit Number
9-/I 'SC''S"
Engineers
N. 811 Jefferson P4i/A-L5-70
Utilities
N. 811 Jefferson
I
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 – ��
,C0.=,.rc
c — '
, . .
30'
ADDRESS E. t7OLYMPIC AVE.
STYLE HOME 2200-D
LEGAL DESCRIPTION L6 B5 SUMMERFIELD EAST FIRST ADDN.
APPLICANT TUPPER INC.
JOB NO. 567
FHA CASE NO.
POWER
W.W.P.
WATER
SCALE
TRENTWOOD
1/=2O'
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