1985, 10-11 Permit App: 00008002 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)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Project Number
gOb2
Owner's Name
TUPPER INC.
LAST
FIRST MI
Project Address (Street Name & Number)
E. 11821 Railroad Ct. Spokane, Washington 99206
Zip
Applicant
TUPPER INC.
Address
E. 12929 Sprague Ave.
City
Spokane
State
Washington
Zip
99216
Phone
(509 ) 928-1991
Business Phone
( 509 ) 928-1991
Contractor/Agent
TUPPER INC.
Address
E. 12929 Sprague Ave.
City
Spokane
Contact
Ken or Debbie
State
Washington
Zip
99216
Phone
( 509 r 928-1991
License Number (Required)
TUPPEIR179DC
Business Phone
( 509) 928-1991
Architect I Engineer
Address
City
Contact
Lender
City
State
Zip
Phone
Business Phone
Address
State
st !Addit ion
Zip
of CwsHtrig
Number of Buildings
19
Phone
Comp.Zone
Plan
Plat
Census Tract,
Lot Size (Sq. Ft./Acre)
Frontage
Left Setback
RightSetback
Rear Setback
Additional InformaIn
940 mainfIoor
40 unfinished basement
w
co
3
s--
2
r
3.
ware Footage
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.
A
Approval
Hold
Environmental Health Permit Number
Citi .101,
tLi9'2
ICI'L,,/1
W. 1101 College
Room 200
Planning/Zoning
N. 721 Jefferson
Permit Number
f f-$
Engineers
N. 811 Jefferson /=N4-4
9
Utilities
N. 811 Jefferson
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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BULDERS COPY
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DDRESS E. 11821 Railroad Court �� �'STYLE940CS elevation
EGAL DESCRIPTION L19 81 Pines West First Addition
APPLICANT TUPPER INC.
JOB # 883
FHA CASE # S O
3 7.3/0
POWER WWP
WATER Irvin
SCALE 1"=20'