1985, 05-29 Permit App: 00005704 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) I oepartmery�f/ lre Only
Tupper Inc. Rte. Comm
2 Project Address(not Mailing Address)or Road Name Space Zip
E. 14824 Summerfield Ct. 99216
•
3 City/Community State Subdivision/Plat Name
Spokane WA, SUMM : I :ST AfnN_
4 Assessor Parcel No. Lot Block
Portion of ; 64 -•0 • " 21 8 * * * DEPARTMENT USE ONLY * * *
_ —
5 Sic(.bode Zone Act.• Project No.
SF P- 5-76/
6 Dwell 9 No.of Building. Sq.Ft./Acre Depth 'I Frontage
•
7 Set Back-Front i - 414sRear)S-I r (R)6-2 ReCensus Tract Module No. I�nitialsls
A 1
* 18 Architect FinnName I Street Address *
Op City State Phone
( )
Contact Person Phone if different than above
( 1
Contractor Firm Name Street Address
Tupper Inc. Ea t 12.929 Sprague AVP
Zip City State Phone
992)6 Spo ane (509 ) 92g-1g791
Contact Person License No. Phone If different than above
Ken or Dekb i e TtIPPF 1 R 1 7c1DC ( - )
8 Owner/Agent(If different than 81 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan(check(YIN) Other(Y/N) I SEPA Exempt(Y/N) Date
N Y NN g�
15 Type Work EN Bldg 0 MN b1 New ` 0 Replace DOu D 1 ep �
garage
0 Fire 0 Demo 0 Add/Alter 0 Move
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
( 1
Contact Person Phone if different than above
( )
Additional Information
1236 gain Floor
• 324 3rd Level Finished
I46 4th level Unfinished
484 Garage
4.3A-Cc,
DEPARTMENT APPROVALS
This ism!.a Permit
Application Type
(Standard unless (Indicated approvals required in either"release"or"release with conditions"
otherwise indicated) ; space prior to permit issuance.)
Fast Track • Release
❑ Early Start Release w/cond 1 Hold 2
❑ Environmental Health ❑ Commercial; 0 Residential 4.444
W.1101 College 0 New Construction; 0 Bldg alteration/addition 25_mac
Room 200 0 Additional structure;
APPLICATION fl is- 05.F 4'
Conditions/Comments:
❑ Planning/Zoning: 0 Commercial; 0 Cert.of Exemption; 0 Frontage;
N.721 Jefferson 0 Setbacks; 0 lot wld; 0 lot size; 0 use/zone;
•
❑ CU,variance;zone change;shoreline; 0 fence; .
❑ Other
Conditions/Comments:
❑ Engineers: ❑ Commercial; 0 Residential; 0 Flood Plai C�
N.811 Jefferson 0 drainage mew access/approach; 0 fence; `J
roade en kl A- `�
Conditions/Comments: �SL�),N\ek_���,t
❑ Utilities:
N.811 Jefferson
Conditions/Comments:
❑ Other:
❑ ♦ Plan Exam
Fire Prey.
Conditions/Comments:
W
Project Representative Telephone
a Agencies Performing Special Inspection:
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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 E. 14824 SUMMERFIELD COURT STYLE HOME ...3,A 00 -
LEGAL DESCRIPTION L21 B8 SUMMERFIELD EAST FIRST ADDN.
APPLICANT TUPPER INC. POWER W.W.P.
JOB NO. 559 WATER TRENTWOOD
FHA CASE NO. SCALE 1"=20'