1984, 11-28 Permit App: 00003546 Residence . t
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Nempest) (first) (m) Dspertnrnf Only
Tupper Inc. JRN. 1Comm
2 Project Address(not Meiling Address)a Road Name Space Zip
E. 14819 Wabash Ct. #543 99216
3 Oty/Community State Subdivision/Plat Name
Spokane WA Summerfield East 1st Addn.
4 Attaeasor Parch No. Lot Block
Portion of 3564-9076 5 8 * * * oEPARrMf3rrUSE ONLY . . *
5 Sic Code bone Ac.• Zone
CIL
Project No.
3
6 Demi!• No.of Buildings Sq.Ft./Acre Depth Frontage
7 Set Back-Front (L)5-1 (R)S-2 Rear Conus Tract Module No. Initials
16 Architect Firm Name Street Address
Zip City State Phone
( )
Owls*Person Phone if different then above
• ( )
Contractor Firm Name Street Address
Tupper Inc. _ East 12929 Sprague Ave
Zip City State Phone
99216 Spokane _ WA (509 ) 928-1991
Oonlect Person License No. Phone N different then sows
Ken Tupper or Debbie Kracher TUPPEIR179DC ( )
6 °sever/Agent(if different then i1 above) Business Address
g Zip City State Phone
( )
12 Review Required Plan Check(YIN) Other(YIN) I!EPA Exempt(YIN) OeM
N Y N N 4-25-84
15 Type Work do Bldg 0 MN if Naw 0 Replace b 1Qheqa rage
0 Fire ❑ Deno ❑ Add/Alter ❑ 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
* Lander Street Address *
Zip City State Phone
( )
Contact Person Phone If different than above
( )
Additional information
1210 main floor -- '�
•.---'1--:'',
? unfinished basement
5& double garage
•
DEPARTMENT APPROVALS
This is j a Permit
Application Type
(Standard unless (indicated approvals required In either'release'or'release with conditions'
otherwise Indicated) specs prior to permit issuance.)
Fast Track
Early Start ( Release
ReleaseiUjr,j w/cond 1 Hold 2
Environmental Health ❑ Commercial; 0 Residential it- 0
W.1101 College ❑ New Construction; 0 Bldg alteration/addition jo
Room 200 0 Additional structure;ruct •
APPLICATION 0 0 1 ^'/ '3 Ke)
Conditions/Comments:
Planning/Zoning: ❑ Commercial; 0 Cert.of Exemption; ❑ 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: D Commercial; 0 Residential; 0 Flood Plain;
N.811 Jefferson ❑ drainage 0 new access/approach; 0 fence; �1_.
• road improvements /
Conditions/Comments:
C Utilities:
N.811 Jefferson
Conditions/Comments:
Other:
Plan Exam
Fire Prey. I
Conditions l Comments:
d
e
Tel— Projecte Project Representative Telephone
Agencies Performing Special Inspection:
ra
O 1
E- E
2.
� c
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_- E_ 14819--WABASH -CT. _ - - STYt --#SME- ----2200-C1
- LEGAL-DESCRIPTION- L5 B8 SUMMERFIELD EAST FIRST ADDN. - -
APPLICANT TUPPER INC. POWER W.W.P.
JOB--bW_----543 - - ---- -WATER-TRENTWOOD
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