1985, 04-25 Permit App: 00005113 Residence*
*
'"7T 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. Ras.
I
Comm
2 Project Address (not Malting Address) or Road Name Space Zip
S. 3904 Skipth Court 99206
3 City/Community
Spokane
State
WA
Subdivision/Plat Name
Chester Heights Addn.
4 Assessor Parcel No.
33542-3506
Lot
6
Block
1
* * * DEPARTMENT USE ONLY * * *
5 Sic Code
Zone Act. M
Zone
Project No.
6 Dwell ff
No. of Buildings
Sq. Ft./Acre
Depth
Frontage 77
tOC>
7 Set Beck -Front
(L)S-1
(R)S-2
I 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
Tupper Inc
Street Address
E. 12929 Sprague Ave
Zip
99216
Clty
Spokane
State
WA
Phone
( 509) 928-1991
Contact Person
Ken or Debbie
License No.
TUPPEIR179DC
Phone If different than above
( same
8 Owner/Agent (if different than 91 above)
Business Address
9 Zip
City
State
Phone
( )
12 Review Required
N
Plan Check (Y/N)
Y
Other (Y/N)
N
SEPA Exempt (Y/N)
N
Date
3-27-85
15 Type Work ❑x Bldg
0 Fire
0 MH
0 Demo
El( New
❑ Add/Alter
0 Replace
0 Move
pt e
UD� garage
14 Describe Work
Single family residence with double garage
10 Applicant Name
Tupper Inc.
Street Address
E. 12929 Sprague Ave.
11 Zip
99216
City
Spokane
State
WA.
Phone
( 509) 928-1991
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional Information
979 main floor
932 unfinished
80 uncovered deck
430 double garage
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is nota Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
❑ New Construction;
❑ Additional structure;
❑ Residential
❑ Bldg alteration/addition
Release
Release
w/cond 1 Hold 2
APPLICATION #
Conditions/Comments•
Planning/Zoning: ❑ 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•
Engineers: ❑ Commercial; ❑ Residential;
N. 811 Jefferson ❑ drainage ❑ new access/approach;
❑ road improvements
Conditions/ Comments•
,/V/4 /S/
❑ Flood Plain;
❑ fence;
Utilities:
N. 811 Jefferson
Conditions/Comments•
Other:
Plan Exam
Fire Prev.
Conditions/Comments'
Project Representative
Agencies Performing Special Inspection:
1
Telephone
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
•
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