1984, 09-19 Permit App: 00002362 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 Name (last) (first) (m) I Deportment Use Only
Tupper Inc. F .
"..''''' i COMM
2 Project Address(not Melling Address)v Road Name Space Zip
E. 14825 WABASH CT. (#544) 99216
3 City/Community State Subdivision/Plat Name
Spokane WA Summerfield East 1st Addn.
4 Assessor Parcel No. Lot Block
Portion of 35643-9072 6 8 * * * DEPARTMENT USE ONLY * * *
5 Sic Code Zone Act.ff Zone Project No.
6 Dwell N No.of Buildings Sq.Ft./Acre Depth Frontage
7 Set Back-Front (L)S-1 (R)S-2 Rear Census Tract Module No. Initials
10' • 30' 20'
* 16 Architect Firm Name Street Address *
Zip City State Phone
( )
Contact 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
Contact Person License No. Phone If different then above
Ken Tupper or Debbie Kracher TUPPEIR179DC ( )
S Owner/Agent(if different than 91 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan Check(Y/N) Other(Y/N) I SEPA Exempt(V/N) Date
N Y N N 4t 4
-25-8
15 Type Work [ Bldg 0 MH CF New 0 Replace b Iph garage
0 Fire 0 Demo 0 Add/Alter 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 it different than above
( )
Additional Information
1202 Main Floor
810 324 3rd Level 40,
546 4th Level
484 Garage
DEPARTMENT APPROVALS
•
This is ngt 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
Early Start Release
Release w/cond 1 Hold 2
O Environmental Health 0 Commercial; 0 Residential
W.1101 College 0 New Construction; 0 Bldg alteration/addition c f lq-g�
Room 200 ❑ Additional structure;
APPLICATION# '/f/7
Conditions/Comments: lee L747
r Planning/Zoning: 0 Commercial; C Cert.of Exemption; ❑ Frontage;
N.721 Jefferson 0 Setbacks; 0 lot w/d; 0 lot size; 0 use/zone;
❑ CU,variance,zone change;shoreline; ❑ fence;
❑ Other
Conditions/Comments:
❑ Engineers: 0 Commercial; 0 Residential; 0 Flood Plain; ,:9 /1
N.811 Jefferson 0 drainage ❑ new access/approach; ❑ fence; -'
❑ road improvements
Conditions/Comments: �Wc53�
LU Utilities:
N.811 Jefferson
Conditions/Comments:
I
• IOther:
Plan Exam
Fire Prey.
Conditions/Comments:
a
w
es Project Representative Telephone
tn Agencies Performing Special Inspection:
c 1.
ac c?
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: 2.
tai
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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ADDRESS E. 14825 WABASH CT. STYLE HOME 3.2 oo
LEGAL DESCRIPTION L6 B8 SUMMERFIELD EAST FIRST ADDN.
APPLICANT TUPPER INC. POWER W.W.P.
JOB NO. 544 WATER TRENTWOOD
FHA CASE NO. SCALE 1"=20'