HomeMy WebLinkAbout1985, 10-22 Permit App: 00008409 Residence •
I'D
(T
IS NOTA PERMIT) 3, _gBUILDING PERMIT APPLICATION WORKSHEET
• PLEASE PRINT AND COMPLETE ONLY THOSE PARTSINK OF THE FORM YOU UNDERSTAND
COMPLETE IN
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
I Project Number .f p')
Owner's Name LAST FIRST MI
Tupper Inc.
Project Address(Street Name&Number) Ztp
E. 14911 Summerfield Court Spokane. Washington 99216
Applicant Address
Tupper Inc. E. 12929 Sprague Avenue
City State Zip Phone
Spokane Washington 99216 ( 509 ) 928-1991
Business Phone
( 509 ) 928-1991
Contractor/Agent Address
Tupper Inc. E. 12929 Sprague Avenue
City State Zip Phone
Spokane Washington 99216 ( 509 ) 928-1991
Contact License Number(Required) Business Phone
Ken or Debbie TUPPEIR179DC ( 509 ) 928-1991
Architect/Engineer Address
City State I Zip Phone
Contact Business Phone
( )
Lender Address
City State I Zip Phone
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DEPARTMENTAL REVIEW
Approved Hold
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Approval
Environmental Health Permit Number Z5--1-77 ‘14'' /I '
❑ W. 1101 College �I 4
Room 200
Planning/Zoning
❑ N.721 Jefferson
AIM
Permit Number it, y
Engineers �Nd /
❑ N.811 Jefferson /T (qp
Utilities
❑ N.811 Jefferson
Plan Review/Fire Prevention
❑ N.811 Jefferson
0 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 /C Date �e.%
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ADDRESS E. 14911 SUMMERFIELD CT. STYLE HOME 3200-C
LEGAL DESCRIPTION L13 68 SUMMERFIELD EAST FIRST ADDN.
APPLICANT TUPPER INC. POWER W.W.P.
JOB NO. 551 WATER TRENTWOOD
FHA CASE NO. SCALE 1"=20'