Loading...
1984, 04-23 Permit App: 00005064 ResidenceBUILDING 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 Name (W) (first) (m) Oepertrrent Use Only Tupper Inc. Fbe• Comm 2 Project Address (not Mailing Address) cc Road Name Space by E. 14820 Olympic Ave. 99216 3 City/Community Spokane State WA Subdivision/Plat Name SUMME D EAST FIRST ADDN_ 4 Assessor Parcel No. Portion of 35643-9076 Lot 1 Block * * * DEPARTMENT USE ONLY * * * 8 5 Sic Code jZDnSACt. it Zone Project No. r'" r. 6 Deed D No. of Buildings Sq. Ft./Acre Depth Frontage 7 Set Back -Front - .)S-1 (R)S-2 Rear Cereus Tract Module No. Initials 16 Architect Rrm Name I Street Address Zip Qty State Phone ( ) Contact Parson Phone if different than above ( ) Contractor Firm Name Tupper Inc. Street _Ea Address 1- 17979 Sprague AVP Zip 99216 qty Spokane State Phone (5as ) 97R-1991 Contact Parson Ken or Debbie Wines No. T PFIR179nC Phone If different than above (— ) 8 Owner/Agent ()f different than 91 above) Business Address 9 Zip Qty State Phone ( ) 12 Review Required N Plan Check (Y/N) Y Other (Y/N) N SEPA Exempt (Y/N) N Orta �j�p—y,cg— $� • 15 Type Work g ❑ Bldg — Rre M 0 H 0 Dere 19 New • 0 Add/Atter 0 tee 0 Move pgU 1 e2garage 14 Describe Work Single family residence with double garage " • 10 Applicant Name Street Address 11 Zip qty State Phone ( ) Lender Street Address Zip City State Phone ( ) Contact Person Phone if different than above ( ) Additional information 1236 Main Floor 324 3rd Level Finished 546 4 Level Unfinished 484 Garage * • . __� • Application Type (Standard unless • otherwise indicated) Fast Track Early Start DEPARTMENT APPROVALS This is ngj a Permit (Indicated approvals required in either "release" or "release with conditions' space prior to permit issuance.) 0 Environmental Health W. 1101 College Room 200 ❑ Commercial; 0 Residential ❑ New Construction; 0 Bldg alteration/addition ❑ Additional structure+D3�iy APPLICATION Release Release w/cond 1 Hold 2 J, Q _ 1 -L3 -'S Conditions /Comments• 0 Planning/Zoning: 0 Commercial; 0 Cert. of Exemption; 0 Frontage; N. 721 Jefferson 0 Setbacks; 0 tot 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 /Com men is• ❑ Flood Plain; ❑ fence; ,5109 co/. 0 Utilities: N. 811 Jefferson Conditions/ Comments• Other: 0 Plan Exam Fire Prev. Conditions/Comments- 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 .- • • i/� 30 3/'1 ADDRESS E. 14820 Olympic Avenue STYLE HOME 3200 LEGAL DESCRIPTION Lot 1 Block 8 Summerfield East First Addition APPLICANT Tupper Inc. JOB NO 581 POWER W.W.P. WATER Trentwood FHA CASE NO SCALE 1"': 20'