1985, 10-30 Permit App: 00008489 Residence 1 ' ' (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
IProject Number
Owner's Name LAST FIRST MI
TUPPER INC.
Project Address(Street Name&Number) Zip
S. 3$08 WOODWARD RD. , Spokane, Washington 99216
Applicant Address
TUPPER INC. - E. 12929 Sprague Ave.
City State Zip Phone
Spokane Washington 99216 (509 ) 928-1991
Business Phone
(509 ) 928-1991
Contractor/Agent Address
TUPPER INC. E. 12929 Sprague Ave.
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 Zip Phone
( I
Contact •Business Phone
( I
Lender Address
City State Zip Phone
( )
Single Family Residence
;:CHESTER HEIGHTS ADDITc0K
';Assessor tit Number Lot Slack Plat Number
33542-3503
3 1
Pertinent Fite Numbers Zone Comp.Plan C,ensus Tract
jFa.—
Number of Dwelling Units Number of Buildings Lot Size(Sq.Ft./Acre) Depth Front"e
1' 1 t:" :::) 98:
*ontSetbadt Left Setback Right Setback Rear Setback
Additional information Square Footage
1236 main floor
',-870 unfinished basement 3q--2— 0 O
484 garage I . 51: b
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2 1
3 •So cc
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Bu( g t Date (roup
to/0�s 3,41._i:
DEPARTMENTAL REVIEW
Cond.
Approved Approval Hold
1,&,(51..,../
Room Environmental Health Permit Number �� + '
❑ Ro 1101 College
Roomm200
Planning/Zoning
❑ N.721 Jefferson
Engineers Permit Number
❑ N.811 Jefferson /N/4' la I -
if
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 _ /64.,„
E� ._ Date (i" _�7 p S_—
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C!1.! 9q. .."-yd ._� ioj
JOB #802
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--- Ih S. 3$08 WOODWARD RD.
. LOT 3 BLOCK 1 CHESTER HEIGHTS ADDN.
-_ __- -------_-- STYLE - 3200-C
_ _ __ _ __ L'' ±__ _ __ t '`' TUPPER INC.
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