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1985, 08-07 Permit App: 00006734 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 Project Number (0,1,51— Owner's Name LAST FI RST MI Tupper Inc. Project Address(Street Name&Number) Zip E. 14907 Wabash Ct. Spokane, Washington 99216 Applicant Address Tupper Inc. E. 12929 Sprague City State Zip Phone Spokane Washington 99216 ( 509) 928-1991 Business Phone Contractor/Agent Address Tupper Inc. E. 12929 Sprague 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 I Zip Phone I ( ) Contact Business Phone Lender Address City State i Zip Phone ( ) �74 � ��.a� �,��6 �b� ffi�g4� R���&�'����'•b � � slL a 0'1'1* i '1" s p - m e. Tk""+i+:;a a:a• 2 � a� ! *r'a-:n x _.� ,�..��� a �?w °� x �`x� �m�4 "ate':aaax �-:gig � �'.«:m ^S 2.s�b�"�.� ;� 4 �F� te. Ae c ..iw t t,.� - i t .. m� .,;� :r "T,a.. &4 ''� a {' aa': ,r P 7' .x,s e ,4^ Vin'.P ^. - 4 .. . £r'.�? �"i`g` �° °��`�-fi ��°,gk�°�°r �°ex ar xm��,_ �����.�� �`f��,W ��,a�.: -. .. fif t4ar4: *� a ,� #e;V sasx,�a .�.� +` ,F$�^ a➢° a#�'�'� m�P �- t r �_p.:`�§�':� :.:.�« fA;,m - a. ? # t�" ,� .r°' " , > -$n 'ag r� mm .A rg a .o � e �tm'-'t�ar. e `�,ggr ?gym g ` � Wet �g s :34 xm«*° A *:� a57$��^ka pam va ,4$ �.yY rys :y ` a +�'fix.. pare V $"S �rS :p,.� .• a :a.. mr g. a: e.x �„m a `{' ,gt2.t:ge:V: *, w .a. m -�. � � y - " a" m '� pq oma `� 'S �.� �� a r-� � m v w m y m'� `� �.� era "%,$. `4;L;..� r � "�'�� '..�.m 11.6,;:te, fir::; roc • e :" - - �: s - rs '- gF,�° " a ria. '.w a € , , . :Af t • DEPARTMENTAL REVIEW Approved CpApproval Hold Environmental Health Permit Number $S 1❑ W. 1101 College 41i i Room 200 v Planning/Zoning ❑ N.721 Jefferson - Engineers Permit Number F/1/Q LJS+'Y $- $S ❑ N.811 Jefferson `-A101 Utilities ❑ N.811 Jefferson 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 by me or my agent is true,correct,legal,and binding. Owner's Signature Date • - - . � c ,' 12/5. --_ _____ _,___, _— —� — — — — — I 49 � Adey,„_,,,,„7 Ca \ ` G - — — — / �c�%:r.. ��� v- , + � � 3 ►,t I _,. °:'� 14 �o Tic ti-r�,h'l- :\:.. -,l. C , 'N •;3 ' ',.. C 141 (-------.1• *7 p , - _ ee,.-.: ' a 1 ce/6 e r 9 S.---> I `1 3;_\.) 1 ,r) \. r< cce !'= ri .. - 1 ., s afa1 - A \ 4 ----- ---- - •----4-154-0- /' ----4 1 meq' 7;771 \\,:ig4' ,-:e,, ,,---/e. I: ray f. �v, — o - _ i . _„ f -- -1420 +- -- - - - -- - -- L - • - -- t7 00 . __ _ L A 4.2 W.e s'/ etre e r , f I ADDRESS E. 14907 WABASH CT. STYLE HOME 2200-C11 — -- -LEGAL DESCRIPTION - 13 88 SUMMERFIELD EAST FIRST ADDN. APPLICANT TUPPER-1NC. POWER W.W.P. JOB NO. 541WATER TRENTWOOD --FHA CASE NO. -- - - -- SCALE 1"=20'