1986, 03-03 Permit App: 00010036 Residence (THIS IS NOTA PERMIT) 31-6, `5
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 f�
Project Number
Owner's Name LAST FIRST MI
Tupper Inc.
Project Address(Street Name&Number) E. 44p2 11-r Zip
E130' of the N307' of the E2 of Tract 162, Vera "C" SP85-355
Applicant Address
Tupper Inc. - E. 12929 Sprague Ave.
City State Zip Phone
Spokane Washington 99216 (509 )928-1991
Business Phone
(509 )g28-19g1
Contractor/Agent Address
Tupper Inc. E. 12929 Sprague Ave.
City State Zip I Phone
Spokane Washington 99216 ' (509 )928-1991
Contact License Number(Required) I Business Phone
Ken or Debbie TUPPEIR179DC (509 )928-1991
Architect/Engineer Address
City State I Zip Phone
Contact Business Phone
Lender Address
City State Zip Phone
i )
X31
Matt Hornet Sher Pt Number :.
Assessor Parcel Number Lot Block Plat Number
3C 1SP85-355
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cF .�-O 10 l� gyp-�7v>
-Pertinent t=ile Numbers Zone Comp.Plan Census Tract
Number et Dwelling Units Number of Buildings Lot Size(Su.Ft.i Acre) Depth — Fror+tage
1 I 1 .– 150.00
::Setbep4 Left Setback Right Setback Roo Setback
'Additional Information Square Footage
979 main floor
932 unfinished basement
`Building Technician Date Group Type
_ 1
/
DEPARTMENTAL REVIEW
Approved CHold
Approval
Environmental Health Permit Number o - "[i2: 6
❑ W. 1101 College
tr"
17 V
Room 200
Planning/Zoning
❑ N. 721 Jefferson
•
Engineers �` ermitNu�
� e /-s ��
❑ N.811 J ferso K
Utilities
D N.811 Jefferson
Plan Review/Fire Prevention
El N.811 Jefferson
Other(SEPA/Critical Material/etc.)
r❑
[] Fast Track/Special Inspection Information
Project Representative Pt---;;;:
-
I 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 - �� -- Date `,=-?
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1., GAL DESCRIPTION . ' • • - s ' • . - .. •
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•1)4"PLICAti TUPPER INC. POWER Vera
JOB a 88 / WATER Vera
FHA CASE I sib. Y J
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