1984, 08-24 Permit App: 00001934 Footings, Foundatione
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Nems (last) (first) (m)
Dspertment Use Only
Tupper Inc.
Fes.t.,'--. 'Comm
2 Project Address (not Mailing Address) a Road Name Space Zip
y, _S—(,,' L,,,A ''i,_: R/2 "o4)/ __-'" /�7 _-.5-,- 99216
i
3 City/ ity
Spokane
State
WA
Subdivision/Plat Name
Summerfield East 1st Add*. 1'.0(v(4
/
4 Assessor Parcel No.
Lot
Block
Portion of 35645:907/b
8
5
* * * DEPARTMENT USE ONLY ra
5 Sic Code
Zone Act.1
Zone
SAC R—
Project No.
( 4 �/
6 Dwell il
k
No. of Buildings
l.
Sq. Ft./Acre
Depth
Frontage
7 Set Back -Front
(L)S-1
(R)S-2
Rear
()anus Tract
Module No.
Initi s
t 16 Architect Firm Name
Street Address
Zip
City
State
" Phone
( )
Contac Person
Phone If different than above
( )
Contractor Firm Name
Tupper Inc.
Street
East
Address
12929 Sprague Ave
Zip
99216
City
Spokane
State
WA
Phone
(5.09 ) 928-1991
Contact Person
Ken Tupper or Debbie Kracher
License No.
TUPPEIR179DC
Pham If different than above
( )
8 Owner/Apert (0 different than 11 above)
Business
Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan
Check (Y/N)
Y
Other (Y/N)
N
SEPA Exempt
(VIN) Date
Vats
N
15 type Work C3�
0
Bldg
Fire
C)MH
0 Demo
C New
0 Add/Alter
0 Rept
0 Move
p4-25-84
e garage
14 Describe Work
Fnnt i ngc F. fnunrlat inn
nnly
10 Applicant Name
Tupper Inc.
Street
East
Address
12929 Sprague Ave
11 Zip
99216
City
Spokane
State
WA
— Phone
(509 )928-1991
Lender
Street Address
Zip
City
State
Phone
l 1
Contact Person
Phone if different than above
( 1
Additional Information
54Co ° (-44 raj
Faat Track/Speclal Ins
• ti
DEPARTMENT APPROVALS
❑
•
Application Type
(Standard unless
otherwise indicated)
Feat Track
Early Start
This ism' 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;
�� //
✓�/
iii/e`
APPLICATION 0 t / 0/ L
/ Ir / /'
Conditions/Comments. 11Il111 r� .
ri.I..GI� 1 4 T" ' . / 1£ l
0
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;,q
K2 2j
410
CU, variance, zone change; shoreline; 0 fence;
❑ Other
CJ
7 77��
Conditi.ns/Com nts• "0��- 0)—G
4''"''''''`-i't)-444-'"------
■
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain;
.�$
N. 811 Jefferson 0 drainage 0 0 fence;
new access/approach;
/�
c.�"m ants >L • �� �.d!
Conditions/Comments rv, 'tf
•
Utilities:
N. 811 Jefferson
Conditions /Comments
■
Other:
•
Plan Exam
Fire Prev.
Conditions /Comments •
I Information ❑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 hold
...••••••-
ADDRESS
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STYLE HOME 3200
LEGAL DESCRIPTION sunirrieriel-i FA -5-E )5-/ di -)10j,
APPLICANT la P°Ei ifC POWER W 14). P1
JOB. NO. A -6g WATER ood„
FHA CASE NO.
SCALE V'=20'