1985, 09-11 Permit App: 00007436 Residence • (THIS IS NOT A PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Project Number
Owner's Name LAST FIRST MI
TUPPER INC.
Project Address(Street Name&Number) Zip
E. 14823 SUMMERFIELD CT. Spokane, Washington 99216
Applicant Address
TUPPER INC. E. 12929 Sprague Ave.
City State Zip Phone
Spokane Washington 99216 ( 509 ) 928-1991
Business Phone
( 509 ) 928-1991 •
Contractor/Agent Address
TUPPER INC. E. 12929 Sprague Ave.
City State Zip Phone
Spokane Washington 99216 ( 509 ) 928-1991
Contact License Number(Required) Business Phone
Ken or Debbie TUPPIER179DC ( 509 ) 928-1991
Architect/Engineer Address
City State Zip Phone •
Contact Business Phone
Lender Address
City State Zip Phone
( 1
Describe Work Res. Comm.
Single Family residence with double garage
Subdivision/Plat Name/Short Plat Number
SUMMERFIELD EAST 1ST ADDITION
Assessor Parcel Number Lot Block I Plat Number
Portion of #456434.046 3J5*C44—.2-$j?. 12 8
Pertinent File Numbers Zone r Comp.Plan Census Tract
Number of Dwelling_Units Number of Buildings Lot Size(Sq.Ft./Acre) Depth Frontage
1 1 10,258 approx.
Front Setback Left Setback Right Setback Rear Setback
Additional Information Square Footage
1236 main floor finished
324 3rd level unfinished 60 ,E-60 ,E
54A 4th level unfinished 1. St co Cl)
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484 garage - — • 3 6 2
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Building Technician Date Group Type
r R
DEPARTMENTAL REVIEW
Cond. Hold
Approved Approval
Environmental Health Permit Number • C I Y
D W. 1101 College j
Room 200 `
Planning/Zoning
❑ N.721 Jefferson
Permit Number g
Engineers
❑ N.811 Jefferson /"7t'A'.�
Utilities
❑ N.811 Jefferson
Plan Review/Fire Prevention
❑ N.811 Jefferson
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.
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ADDRESS E. 14823 Summerfield Ct. STYLE 3200/4th
LEGAL DESCRIPTION L12 68 Summerfield East 1st Addn.
APPLICANT TUPPER INC. POWER WWP
JOB # 550 WATER Trentwood
FHA CASE # SCALE 1"=20'
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