1985, 03-13 Permit App: 00004462 Residence 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 Name (last) (first) (m) Department Use Only
TUPPER INC 60."....." Comm
2 Project Address(not Mailing Address)or Road Name Space Zip
S. 3905 Skipworth Court 99206
3 City/Community State Subdivision/Plat Name
Spokane WA. Chester Heights
4 Assessor Parcel No. Lot Block
33542-3505 5 l * * * DEPARTMENT USE ONLY * * *
5 Sic Code Zone Act.M Zone �� Project No. ``_•,�2__
6 Dwell# No.of Buildings Sq.Ft./Acre Depth Frontage
1 _ I rl'cU/Civ
7 Set Back-Front (L)S-1 (R)S-2 f Rear Census Tract Module No. Initials_
3v . 5 C ?S Clyfez e
* 16 Architect Firm Name Street Address
J
Zip City State Phone
( )
Contact Person Phone If different than above
( )
Contractor Firm Name Street Address
TUPPER INC. E. 12929 Sprague Ave
Zip City State Phone
99216 Spokane WA. (509 ) 928-1991
Contact Person License No. Phone If different than above
Ken or Debbie TUPPEIR179DC ( )
8 Owner/Agent(if different than#1 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan Check(YIN) Other(YIN) I SEPA Exempt(YIN) Date
N Y N N 3-6-85
15 Type Work ) Bldg ❑ MH M New ❑ Replace NOthDourl a garage
❑ Fire ❑ Demo ❑ Add/Alter ❑ Move
14 Describe Work
Single family residence with double garage
10 Applicant Name Street Address
Tupper Inc. E. 12929 Sprague Ave
11 Zip City State Phone
99216 Spokane WA. (509 ) 928-1991
* *
Lender Street Address
Zip City State Phone
( )
Contact Person Phone if different than above
( )
Additional Information
1236 main floor finished
324 3rd level unfinished
546 4th level unfinished
484 double garage
DEPARTMENT APPROVALS
This is nota Permit
Application Type
(Standard unless (Indicated approvals required in either"release"or"release with conditions"
otherwise indicated) space prior to permit issuance.)
Fast Track
Early Start Release
Release w/cond 1 Hold 2
Environmental Health ❑ Commercial; ❑ Residential / 49 /1-
W.1101 College ❑ New Construction; ❑ Bldg alteration/addition g731,‹
Room 200 ❑ Additional structure;
APPLICATION# 6—6/2
Conditions/Comments:
Planning/Zoning: ❑ Commercial; ❑ Cert.of Exemption; ❑ Frontage;
N.721 Jefferson ❑ Setbacks; ❑ lot w/d; ❑ lot size; El use/zone;
❑ CU,variance,zone change;shoreline; ❑ fence;
❑ Other
Conditions/Comments:
GJ
Engineers: IDCommercial; ❑ Residential; 0 Flood Plain; 15_
N.811 Jefferson ❑ drainage ❑ new access/approach; ❑ fence; I
❑ road improvements ,/
Conditions/Comments: /`�L3J,t 61 &/
E Utilities:
N.811 Jefferson
Conditions/Comments:
El Other:
O Plan Exam
Fire Prey.
Conditions/Comments:
a
c°❑ Project Representative Telephone
0. Agencies Performing Special Inspection:
Y O 1.
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CU co
2.
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LL.
3.
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
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ADDRESS N. 3905 Skipworth Court STYLE HOME 3200
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LEGAL DESCRIPTION Lot 5 Block l Chester Heights Addition e• a .�
APPLICANT Tupper Inc. POWER Inland Power 6 Light •
•
JOB NO ...#Beg WATER Model Irrig.
SCALE 1"=20' approx.
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