1985, 04-09 Permit App: 00004918 Residence `7J2__ .� -
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) f Department Use Only
Tupper Inc. Comm
2 Project Address(not Mailing Address)or Road Name Space Zip
E. 14915 Summerfield Court 99216
3 City/Community State Subdivision/Plat Name
Spokane WA SUMME IELD EAST FIRST ADDN_
4 Assessor Parcel No. Lot Block
Portion of 35643-9076 14 8 * * * DEPARTMENT USE ONLY it * *
5 Sic Code Zone Act.I Zone Project No. r0, l 8
6 Dwell! No.of Buildings Sq.Ft./Acre Depth i Frontage 1
I ( 7f,sz
7 Set Bads Fronti (.)B 1 t (R)18-2 I Rer Module odule No. Initials
3o , f3 ►3
* *
16 Architect Firm Name Street Address
Zip City State Phone
( )
Contact Person Phone If different than above
( )
Contractor Firm Name Street Address
Tupper Inc. Ea t 12929 Sprague Avg._
Zip City State Phone
99216 Spo ane (5(19 ) 97R-1891
Contact person License No. Phone if different than above
Ken or Debbie TUPPF1R1791)C ( — 1
8 Owner/Agent(If different than 11 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan Check(YIN) Other(YIN) SEPA Exempt(YIN) Date
N Y N ] N 4-9-85
15 Type work (4 Bldg 0 MH !g New 0 Replace DEu D I e garage
❑ 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
( )
Contact Person Phone if different than above
( )
Additional Information
1210 Main floor finished
464 3rd level finished
736 4th level unfinished
484 double ciaraae
DEPARTMENT APPROVALS •
This is nota Permit
Application Type
(Standard unless • (Indicated approvals required in either'release'or'release with conditions'
otherwise indicated) , space prior to permit issuance.)
o Fast Track Release
El Early Start leasee409,A-)
w/cond 1 Hold 2
Environmental Health ❑ Commercial; ❑ Residential
W.1101 College 0 New Construction; 0 Bldg alteration/addition
Room 200 ❑ Additional structure;
APPLICATION#
Conditions/Comments:
j ❑ Planning/Zoning: 0 Commercial; 0 Cert.of Exemption; ❑ Frontage;
N.721 Jefferson 0 Setbacks; C' lot w/d; 0 lot size; 0 use/zone;
• ❑ CU;variance,.zone change;shoreline; ❑.fence;• •
0 Other
Conditions/Comments:
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain;
N.811 Jefferson 0 drainage 0 new access/approach; 0 fence; tl `
} ❑ road improvements
Conditions/Comments: /- /.W
Utilities:
N.811 Jefferson
Conditions/Comments:
Other:
i
Plan Exam
Fire Prey.
Conditions/Comments:
ri:
c❑
9 Project Representative _ — Telephone
a Agencies Performing Special Inspection:
U)
C 1.
Y O
•E 2.
;, o
as u_
E
3.
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
i, .464,
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SADDRESS E. 1491.5 SUMIJERFIELD CT. SONTYLE HE , ,Z2OO. -1l I qIL
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• LEGAL DESCRIPTION L14 88- SUMMERFIELD EAST FIRST ADEN.
APPLICANT TUPPER INC. POWER W.W.P.
JOB 110. 552 4. L EYE(,•.. - WATER TRENTWOOD
FHA CASE NO. O 41I SCALE 1"-20'
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