1985, 05-13 Permit App: 00005428 Residence •
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) -7*".--LX
• 1 Owner's Name (last) (first) (m) I C pertment�ie Only
Tupper Inc. �/ �C°mm
2 Project Address(not Mailing Address)ar Road Name Space Zip
E. 14924 Wabash Ct. 99216
' 3 City/Community State Subdivision/Plat Name
Spokane WA SUMME IRST ADDN_
4 Assessor Parcel No. Lot Block
Portion of 35643-9076 ' 7 8 * * * DEPARTMENT USE ONLY * * *
5 Sic Code Zone Act.I ZoneSF I` Project No. c/2
`J
8 Dwell* No.of Buildings Sq.Ft./Acre Depth Frontage
I I
7 Set Back-Front (1-)S-1 (t)5-2 Rear Census Tract Module No. Initial �
`,
7 / f
4
AM=
* 16 Architect Firm Nano Street Address ;
Zip City State Phone
( )
Contac Person Phone If different than above
( )
Contractor Firm Name Street Address
Tupper Inc. Ea t 12.929 Sprague AvP
Zip City State Phone
99216 Spo ane (5n9 1 97R-1(1,91
Contact Person License No. Phone If different than above
Ken or Debbie TIIPPFIR17gfr ( - )
8 Owner/Agent(If different then it1 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan Check(YIN) Other(YIN) I SEPA Exempt(Y/N) Date
/O-��
N Y N N
15 Type Work 1:4•Bldg 0 MH 19 New 0 Replace Diu D 1p�
E garage
0 Fire 0 Demo 0 Add/Atter 0 Move
14 Describe Work
Single family residence with double garage
10 Applicant Name Street Address
11 Zip City State Phone
( )
* *
Lender Street Address
Zip City State Phone
( )
Contact Person Phone If different than above
( )
Additional Information
1236 Main Floor Finished
324 3rd Level Finished
546 4th Level Unfinished
484 Ga rage
DEPARTMENT APPROVALS
This is nota Permit
Application Type
(Standard unless • (Indicated approvals required in either'release'or'release with conditions"
otherwise indicated) , space prior to permit issuance.)
❑ Fast Track .
Release
❑ Early Start Release w/cond 1 Hold 2
❑� j
Environmental Health 0 Commercial; 0 Residential
W.1101 College 0 New Construction; ❑ Bldg alteration/addition J'i 3 b r
Room 200 0 Additional structure;
APPLICATION if
Conditions/Comments:
❑ 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;.. ❑ fence; .
0 Other
Conditions/Comments:
43/
❑ Engineers: 0 Commercial; 0 Residential; 0 Flood Plain;
N.811 Jefferson 0 drainage ❑ new access/approach; 0 fence; - -
❑ road improvements rOMa�/
Conditions/Comments: /'"/�V1
❑ Utilities:
N.811 Jefferson
Conditions/Comments:
❑
Other:
❑ Plan Exam
Fire Prey.
Conditions/Comments:
cis
❑
Project Representative Telephone
n Agencies Performing Special Inspection:
c
▪ o 1.
►-• E 2
m o
CO
3.
1 Indicate above or attach conditions relative to final as built approval
2 indicate above or attach reasons for hold
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/ - E. 14924 WABASH CT. STYLE HOME 5-?/( C
:7-LEGAL-DESCRIPTION L7 68 SUMMERFIELD EAST FIRST ADDN.
•
| APPLICANT TUPPER INC. POWER W.W.P.
__ 8BNO, 545 WATER TRENTWOOD
|
-FHACASE NO. SCALE 1"~20/
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