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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 • '3r./.4 101-,441 Copped end >E Grto OL4 G 41.8/440004k • r 44 " Pv.f. A srhp3o;•l': 9"/Ipr s a is z % Si opt.. 16'n — L r/oC/�¢ !! /coo 60, 1421)4" 00 ' d'a,', ' /il A 0 8� ' 1 10 Ski worth Court STYLE 979CS Lot 6 Block 1 Chester tlei•hts Addition ler Inc. 805 rox.. St. /v K.77/ cou,zre POWER Inland Power & Light WATER Model Irriq. ,."7-3eVA-2/