1985, 09-24 Permit App: 00007979 Residence (THIS IS NOTA 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
I Project Number
Owner's Name LAST FIRST MI
TUPPER INC.
Project Address(Street Name&Number) Zip
N. 1114 Tschirley Ct. Spokane, Washington 99016
Applicant Address
TUPPER INC. E. 12929 Sprague Ave.
City State Zip Phone
Spokane Washington 99216 ( 509 ) 928-1991
Business Phone
( 509 1928-1991
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 I Zip Phone
Describe Work Res. ' Camra.
Single family residence
Subdivisioni Plat Name/Short Plat Number
Zangar's Addition
Assessor Parcel Number Lot Block Plat Number
/ - 38 1
Pertinent Fife Numbers Zone Comp.Plan Census Tract
Number of Dwelling Units Number of Buildings Lot Size(Sq.Ft./Acre) Depth Frontage
1 1
Front Setback Left Setback Right Setback Rear Setback
Additional Information Square Footage
979 main floor
979 unfinished basement
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2
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Building Technician Date Group Type
•
DEPARTMENTAL REVIEW
Cond.
Approved Approval Hold
Environmental Health Permit Number
❑ W. 1101 College
Room 200
Planning/Zoning
❑ N. 721 Jefferson
Engineers Permit Number g Z
❑ N.811 Jefferson � .' 407
Utilities I
❑ N.811 Je`
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 �1
by me or my agent is true,correct,legal,and binding.
Owner's Signature !� Date ! &5
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ADDRESS N. 1114 TSCHIRLEY CT- - . . - STYLE HOME 979E il
LEGAL DESCRIPTION L.rg ZANGAR'S ADDITION
APPLICANT TUPPERINC. ---- --- --•--------------------- POWER wwp
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JOB #
WATER Consolidate-d
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ADDRESS N. 1114 TSCHIRLEY CT STYLE HOME 979SE
LEGAL DESCRIPTION L8 81 ZANGAR'S ADDITION
APPLICANT TUPPER INC. POWER wwp
JOB # WATER Consolidated
FHA CASE # ._. ''... )--- 6 > -) (,,, ,-' / SCALE 1" = 20'
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