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1985, 07-17 Permit App: 00006357 Residence C 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) I I p� t Only Tupper Inc. lbs. V/ Comm 2 Project Address(not Mailing Address)or Road Name Space Zip S. 3904 Skipworth Ct. 3 City/Community State Subdivision/Plat Name Spokane Wash. Chester Heights Addn. 4 Assessor Parcel No. r. Lot Block 33642 r a,_O f 4 i * * * DEPARTMENT USE ONLY * * * 5 Sic Code Zone Act.M Zone Project No. 63,51 6 Dwell k No.of Buildings Sq.Ft./Acre Depth Frontage 7 Set Bads-Front (L)S-1 (R)S-2 !Rear Census Tract Module No. Initials * 16 Architect Firm Name Street Address * Zip City State Phone ( ) Contact Person Phone If different than above ( ) Contractor Firm Name Street Address Tupper Inc. E. 12929 Sprague Ave. Zip City I 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 r 9 Zip City State Phone ( ) 12 Review Required Plan Check(Y/N) Other(Y/N) I SEPA Exempt(Y/N) Date N Y N N 15 Type Work A Bldg El MH )Fl New ❑ Replace Other ❑ Fire ❑ Demo ❑ Add/Alter ❑ Move double garage 14 Describe Work Single family residence with double garage 10 Applicant Name 'Street Address 11 Zip City State Phone ( ) * * Lender Street Address Zip City State Phone ( ) Contact Person Phone if different than above ( ) Additional Information 979 Main Floor 932 Unfinished Basement 80 Uncovered deck 480 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 O Environmental Health ❑ Commercial; ❑ Residential *A-41 W.1101 College ❑ New Construction; ❑ Bldg alteration/addition f7 Room 200 ❑ Additional structure;�) QQ APPLICATION# 0 6�- Conditions/Comments: pi'_ /LC&'J?y Planning/Zoning: 0 Commercial; ❑ Cert.of Exemption; ❑ Frontage; N.721 Jefferson ❑ Setbacks; ❑ lot w/d; ❑ lot size; ❑ use/zone; ❑ CU,variance,zone change;shoreline; ❑ fence; ❑ Other Conditions/Comments: rsS Engineers: ❑ Commercial; ❑ Residential; ❑ Flood 1:11Plain N.811 Jefferson ❑ drainage new access/approach; ❑ fence; ❑ road improvements ,/ Conditions/Comments: 7 Z,A 0 Utilities: N.811 Jefferson Conditions/Comments: Other: 0 Plan Exam Fire Prey. Conditions/Comments: c c❑ (.)° Project Representative Telephone Agencies Performing Special Inspection: O 1. () ._ E 2 a) o "E- u_ 3. 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for hold 4 = • ig ..ic .. ,.., _ ........ .....• 7 I i q 7. - -, . 1 ,lot .,,r i- --- .....„1 (' it) 10% ..',"' I>0- 1., 1 V---) 4-\ Al -- . , --- ,...... le, ...-- , ----- „------; lc c•.4:1---1 " .:-.. ,.....S„------ "--1------- ' -e"` ..-- ., 1, ..„----- ...--- ---t-\ _ -- ..--- it --- ----- ik . ,e- 1 ....- • r' - . , 'co( ,otrt • e• ,,•,' I N( , . s., •1 I A d . ,r 1_,5. ' , E \ , - .. . i 00- ..---- • , tt, I . 1 ft, li ter • o; r\ • . ro \iv( .... . ' /5,/ ' t • 1 , \ J. : e • , i 4 . ,...,----•' . c..w2.,13 /\ 1 \ I •A‘ 4.45" V/7 •SK/PuiCkril cfloci -r- frIzit I 1 Re......1.1 SZE' ADDRESS S. 3809 Skipworth Court STYLE 1002 LEGAL DESCRIPTION Lot 4 Block 1 Chester Heights Addition APPLICANT Tupper Inc. POWER Inland Power & Light JOB # 803 WATER Model Irrig. SCALE 1" = 20' approx. A" - -' , ,, - - -, -, ''`"%,.. -','.: ''''` '"''' ‘ ` .' ' ''''' 1 - '''' ' .,--``,,, - `'``•-;,,-`-., '-'.-,- , -.',