1985, 03-13 Permit App: 00004465 Residence •
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BUILDING PERMIT APPLICATION WORKSHEET
• 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)
• t Owner's Nemo feet) (first) (m) I0s0�^�/ ^h'
Tupper Inc. 1
Comm
2 Project Address(not Meiling Address)ar Road Naar saOe Bp
E. 148 .2 Wabash Court 99216
3 City/Community State Subdivision/Plat Name
Spokane WA Summerfield East 1st Addn.
4 Assessor Parcel No. Lot Block
* * * DEPARTMENT USE ONLY * * *
Portion of 3564. 9076- . 11 8 /�
5 31c oval. : AaI. Zone S F r'' i7�/CIJ�J
e DwellII No.of Buildings Sq•
Ft.IAcre Depth Frontage
/ / /15 70
7 'Jet Bscii-Peon Roar CenCensus)S 1 fR)S-2 Roar Tract Module No. Initials94'4)
lO 2--� 8 r
*
* 16 Architect Firm Nems Street Address
-
Zip Oy Slate Phone
( )
Corded Person - Aron it different then above
• ( )
r
Contractor Ann Nems Street Address
Tupper Inc. East 12929 Sprague Ave
to Pf ons
99216 City St Spokane WA (509 ) 928-1991
Oontaa Penton License No. Phone if different thin atom
Ken Tupper or Debbie Kra-cher TUPPEIR179DC ( )
S Owner/Agent(if different than n above) Business Address •
S Zip City state Phone
( )
12 Review Required Plan Check(YIN) I ans.(YIN) SEPA Exempt(YIN) Osis
N Y N , N Ir
garage
Type Work f Mdg ❑ MH r New ❑ Replace
t h 4}a ra9e
• ❑ Fin ❑ Demo ❑ Add/Mar ❑ Move
14 DesaribS Work
Single Family Residence.with double- garage
10 Applicant Name Street Address
Tupper Inc. East 12929 Sprague Ave
11 DP City State Phone
99216 Spokane WA (509 )928-1991
Lander Street Address
Zip City Stats Picone
( )
Phone If different than above
Contest Person
( )
Additional Information
996 Main Floor finished
• 948 3 & 4th - unfinished '
100 uncovered deck
484 double garage
•
•
DEPARTMENT APPROVALS .
This ispaa Permit
Application Type
(Standard unless (indicated approvals required in either"release'or'release with conditions'
Fahotherwrt T ise Indicated) spec*prior to permit issuance.)
ac❑ Early Start Release
Release w/cord 1 Hold 2
C
Environmental Health ❑ Commercial; ❑ Residential
W.1101 College 0 New Construction; ❑ Bldg alteration/addition
Room 200 0 Additional structure;
APPLICATION 8 3"-4/3D
Conditions/Comments:
0 Planning/Zoning: 0 Commercial; 0 Cert.of Exemption; 0 Frontage;
N.721 Jefferson 0 Setbacks; 0 lot w/d; 0 lot size; 0 use/zone; .
0 CU,variance,zone change;shoreline; 0 fence; •
❑ Other •
Conditions/Comments:
Engineers: 0 Commercial; 0 Residential; 0 Flood Plain; I
N.811 Jefferson 0 drainage 0 new access/approach; 0 fence;
❑ road improvements
Conditions/Comments: - - PA6l8
❑ Utilities:
N.811 Jefferson
Conditions/Comments:
0 Other:
❑ Plan Exam
Fin Prev.
Conditions/Comments:
ri
w
c❑
Project Representative
_H
Agencies Performing Special Inspection: Telephone
Y o 1•
E
0 2•
3.
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for held
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• ADDRESS £_. J44812 Wa lots Gt. STYLE HOME 2.2-00-45 .
LEGAL DESCRIPTION L11 B8 SUMMERFIELD EAST FIRST ADDN.
APPLICANT TUPPER INC. POWER W.W.P.
JOB NO. 549 WATER TRENTWOOD
FHA CASE NO. SCALE 1"=20' So'
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