1985, 10-11 Permit App: 00008000 Residence(THIS IS NOTA PERMIT) ' `j = -
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
Owner's Name LAST FIRST MI
TUPPER INC.
Project Address (Street Name & Number) Zip
E. 12003 Railroad Circle Spokane, Washington 99206
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.
Add ess
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
-V /
13
Plat t
. Plea
Census Tract
al Doodling
Number of Buildings
Lot size (Sq. Ft.tAcre)
Left Setbaeck
Right Setback
Bear Setback
iticnai
information
940 main floor
940 unfinished basement
w
co
Square Foc ege
Typ
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 7-",
Approved
Cond.Hold
Approval
Environmental Health Permit Number
elL.' 0' Y
W. 1101 College
Room 200
Ft4Gry
°O �`'
7
Planning/Zoning
N. 721 Jefferson
Permit Number
9-.2 -fl
Engineers
N.6 O 9
N. 811 Jefferson
Utilities
N. 811 Jefferson
I
Pian 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 7-",
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ADDRESS E. 12003 R
LEGAL DESCRIPTION 13/2 Pines West 1st Additio7..."—FrR---WWP
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APPLICANT TUPPER INC. _ °F `f•
JOB # 882 WATER Irvin
FHA CASE # S ----Z,..,20 7 :3'74SCALE
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ADDRESS E. 12003 R STYLE
LEGAL DESCRIPTION 13/2 Pines West 1st Additio
APPLICANT TUPPER INC. , POW
JOB # 882 WATER Irvin
FHA CASE #
SCALE 1"=20'
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