1985, 05-29 Permit App: 00005794 Residence BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
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(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name (last) (first) (m) �ment lJgeOnly
Tupper Inc. Res. / Comm
2 Project Address(not Mailing Address)ar Road Name Space Zip
,, S. 3807 Woodward Road 99206
3 City/Community State Subdivision/Plat Name
Spokane WA. CHESTER HEIGHTS ADDN
4 Assessor Parcel No. Lot Btock
* * * DEPARTMENT USE ONLY * * *
33542-3502 2 1
5 Sic Code Zone Act.# Zone Project No.
te r;2 57( L
6 Dwell N No.of Buildings Sq.Ft./Acre Depth Frontage r
1 1 Lc, 7 G
7 Set Bads-Front �S 1(L)S- _ (R)S- Rear Census Tract Module No. ials„ --* *
16 Architect Firm Name Street Address
Zip City State Phone
( )
Contact Person Phone If different than above
( 1
Contractor Firm Name Street Address
Tupper Inc E. 12929 Sprague Ave
Zip City State Phone
99216 Spokane WA (509 ) 928-1991
Contact Person License No. Phone if different than above
Ken or Debbie TUPPEIR179DC ( Sam8
8 Owner/Agent(if different than#1 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan Check(Y/N) Other(Y/N) I SEPA Exempt(YIN) Date
N Y N N 3-27-85
15 Type Work L( Bldg ❑ MH X New ❑ Replace
Nntle garage
❑ Fire ❑ Demo 0 Add/Alter 0 Move
14 Describe Work
Single family residence with double garage attached
10 Applicant Name Street Address
Tupper Inc. E. 12929 Sprague Ave
11 Zip City State Phone
99216 Spokane WA ( 509 ) 928-1991
* Street Address
*
Lender
Zip City State Phone
( )
i
Contact Person Phone if different than above
( )
Additional Information
1548 main floor finished
420 3rd level unfinished
546 4th level unfinished
660 double garage -03G4
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DEPARTMENT APPROVALS
This is nota Permit
Application Type
(Standard unless (Indicated approvals required in either"release"or"release with conditions"
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otherwise indicated) space prior to permit issuance.)
❑ Fast Track
❑ Early Start Release
_ Releas, w/cond 1 Hold 2
❑ Environmental Health ❑ Commercial; ' %J
❑ Residential
W.1101 College ❑ New Construction; ❑ Bldg alteration/addition 9
Room 200 ❑ Additional structure; S-a i �
APPLICATION# TS Sg3
Conditions/Comments:
❑ Planning/Zoning: ❑ Commercial; ❑ Cert.of Exemption; ❑ Frontage;
N.721 Jefferson ❑ Setbacks; ❑ lot w/d; ❑ lot size; ❑ use/zone;
❑ CU,variance,zone change;shoreline; ❑ fence;
❑ Other
Conditions/Comments:
'
ElEngineers: ❑ Commercial; ❑ Residential; ❑ Flood Plain;a�`�
N.811 Jefferson ❑ drainage QM-1;w access/approach; ❑ fence;
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r�adpr vemets
Conditions/Comments: 1 )
Utilities:
N.811 Jefferson
Conditions/Comments:
El
Other:
Plan Exam
Fire Prey.
Conditions/Comments:
a
Project Representative
Telephone
�a Agencies Performing Special Inspection:
C 1.
O
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T
~ E 2.
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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 S. 3807 Woodward Road STYLE 3200
LEGAL DESCRIPTION Lot 2 Block 1 Chester Heights
APPLICANT Tupper Inc. POWER Inland Power
JOB # 801 WATER Model Irrig.
FHA CASE # SCALE 1" = 20' approx