1985, 10-25 Permit App: 00008325 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
Fryatt Number g3-e,
Owner's Name LAST FIRST MI
TUPPER INC.
Project Address(Street Name&Number) Zip
E. 14912 Summerfield Ct. , Spokane, Washingotn 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 TUPPEIR179DC ( 509 ) 928-1991
Architect/Engineer Address
City State Zip Phone
Contact Business Phone
Lender Address
City State Zip Phone
t�tafDeift#stR , Mites.` Cottxn. r.
Single Family Residence
$ubdtvision/Plat Name/Short Plat Welber
SUMMERFIELD EAST 1ST ADDITION
Assessor Parcel Number Lot Block I Plat Number
35644-2820 20 8
Pertinent File Numbers Zone Comp.Plan Census Tract
Number of Dwelling Units Number of Buildings Lot Size(Sq.Ft.1Acre) Depth Frontage
1 1 10 it
Front Setback Left Setback Right Setback Rear Setback
Additional Information Square Footage
1210 main floor
1184 unfinished basement
484 garage 3(2 '50
2
0
Build ecCplcleq
Date
Gro Type
C2f
DEPARTMENTAL REVIEW
Cond.
Approved Hold
Approval
•
Environmental Health Permit Number 16.--�5,1-, •
O W. 1101 College
Room 200 ,
r
Planning/Zoning
O N.721 Jefferson
Engineers Permit Number /O t
O N.811 Jefferson /A 1
Utilities
0 N.811 Jefferson
Plan Review/Fire Prevention
[1 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.
Owner's Signature Date_�G� c S
` a E ,�, < >6y
�
•
1 H - ' t '1'
I ,� n 1 N . ft-\ry
� Jag., I ...?,5t,
i t •� z i'
' 1 1'1I fLo: /tv
I I a I A 9 y
1 Q
C i
b
X26 ,( _ ,2
- _ - . ,
j ,tib\
iI 111.‘
NIL '
( V/ -,'-'(:.' '-‘,..„.
017773 / . -- 1016 7 l
ADDRESS E. 14912 SUMMERFIELD CT. STYLE HOME 2200-C111
LEGAL DESCRIPTION L20 68 SUMMERFIELD EAST FIRST ADDN.
APPLICANT TUPPER INC. POWER W_W,p_
JOB NO. 558 WATER TRENTWOOD
FHA CASE NO. SCALE 1""=20'