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1985, 03-07 Permit App: 00004387 Residence - BUILDING PERMIT APPLICATION WORKSHEET r PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND (Please return this original and your building plane to the Department of Building and Safety) 1 Owner's Name pant) (first) (m) •Dapartmant Tupper Inc. Ria. loan 2 Project Address(not MaiNng Address)a Road Name apace Zip E. 14801 Wabash Ct. 99216 3 City/Community State Subdivision I Plat Name Spokane WA Summerfield East 1st Addn. 4 AaeeMOr Parcel No. Lot Block Portion of 35643-9076 2 8 * * * DEPARTrMENTUSE ONLY * * * 5 Sic Cade ZsrwAct.if Zones f` Project No. {� 7 8 Dwell M No.of Buildings Sq.Ft./Acre Depth Frontage rrequ0` 7 Set Back-Front (L)S-1 (R)5-2 Near Census Tract Module No. Initials 30 17 3 i q * 16 Architect Firm Name Street Address * Zip city State Phone ( ) Lbntact Person Phone if different than above • ( ) Contractor Firm Name Street Address Tupper Inc. East 12929 Sprague Ave Zip City State Phone 99216 Spokane WA (509 ) 928-1991 Contact Person License No. Phone it different than above Ken Tupper or Debbie Kra-cher TUPPEIR179DC ( ) 1 8 Owner/Agent(if different than 01 above) Business Address 9 Zip City State Phone ( ) 12 Review Required Plan Cheek(Y/N) Other(YIN) SEPA Exempt(Y/N) Date N Y N N 4-2 -84 15 Type Work Bldg 0 MH New 0 Replace b l e garage 0 Fire o Demo c Add/Atter 0 Move 14 Describe Work Single Family Residence with double garage 10 Applicant Name Street Address Tupper Inc. East 12929 Sprague Ave 11 Zip City State Phone 99216 Spokane WA (509 )928-1991 * Lender Street Address Zip City State Phone ( ) Contact Person • Phone if different than above ( ) Additional Information 1236 Main floor finished 324 3rd level unfinished 546 4th level unfinished 484 double garage 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 D Early Stag Release Release i H61d 2 G Environmental Health 0 Commercial; 0 Residential W.1101 College ❑ New Construction; 0 Bldg alteration/addition Q �� Room 200 0 Additional structure;` APPLICATION I G D/0 S Conditions/Comments: ❑ Planning/Zoning: 2 Commercial; 0 Cert.of Exemption; 0 Frontage; N.721 Jefferson ❑ Setbacks; 0 lot w/d; 0 lot size; 0 use/zone; O CU,variance,zone change;shoreline; 0 fence; O Other >,Conditions/Comments: ❑ Engineers: 0 Commercial; 0 Residential; 0 Flood Plain; N.811 Jefferson 0 drainage 0 new access/approach; 0 fence; ❑ road improvements Conditions/Comments: / iY a©& Utilities: N.811 Jefferson Conditions/Comments: ❑ Other: O Plan Exam Fin Prov. Conditions I Comments: d a c C Project Representative Teiaphons Agencies Performing Special Inspection: O 1 � w t- E 2. a o u. `c 3. 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach mesons for held