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1985, 10-31 Permit App: 00008497 Residence ' (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 I Project Number "1 4,-_/ / Owner's Name LAST FIRST MI TUPPER INC. Project Address(Street Name&Number) Zip E. 11405 - 26th Spokane, Washington 99206 Applicant ' rte 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 ( ) Contact Business Phone ( ) Lender Address City State Zip Phone ( ) 5�1�Fam r t� Res 1 device � '= �„ ,' •. di slontt ire-Platt er ._.._. il "Kokomo Town-st;te . . Assessor Parcel Number Lot Nock I Plat Number 285143-3226 19 32 Pertinent File Numbers Zone Como.Plan 1 Cjertsus Tract Number of Dwelling Units Number of Buildings Lai size{Sq.Ft./Acre) 'Depth Frontage From Setback ' Lett Setback Right Setback Rear Setback Additional information Square Footage 940 main floor 940 unfinished basement 27& • 4174:" S . z • S� °Building Technician I Date Group I Type DEPARTMENTAL REVIEW Approved CpApproval Hold Environmental Health Permit Number ❑ W. 1101 College Room 200 Planning/Zoning ❑ N. 721 Jefferson Permit Number /bJax Engineers fiber ❑ N.811 Jefferson ,17 i,VP Utilities O N.811 Jefferson Plan Review/Fire Prevention ❑ N.811 Jefferson Other(SEPA/Crltical 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 Date — . - _ .• - • . ' . • (i i'Y ').1e, ' 1. .4--. -- - cr 11116 t . - / . . ..".' 1 .........- - - -- I ' 1.i. l•z4i .... 1 i _ • i itL,..) ,‘.;j I 1. . " _ r...__ 1 :, . r • r..,,, , . i , , J 1 .:0 )1 .) ‘°*-k‘6')\‘49\j4 .FIljr1:1111).). K,\ t , CZ. I 1 .1Erti4Tit-41itipli, • .. ...rv• I Coe7e)04 4' Ga/The 5'4,t i e 74e/4.4.) i , 0 Re4,e..i A's r .1 „VeZ .rftgfete,7, ---r---- I 0:7-. : ,e_ r, iv' 2,.,,... c Coe.,,0_2.....) 1444 41," PC. P:ti- . - . . he ,A :, • .....it, r tit .. : ,„. - 7 14._..„. I i lir Oi ... A =Raw is: ' i' ' I ! I Ai-,4k0-10'3q Sp3 , ft3r AA c-7S9 0,4 2 X,Asio*L. .:-. , o ..; 1••,..- 12AJkft,t. Glit4 AAA. AA•rt a°411444.4. . - i a - it.% GeorJC. i>4I LiC, i 0' ''' je.air. iz } „ ci4o <.E. 15 jJo.,...' , ••• • .Z,,; 1'4' ) DRESS E. 1140S - 26th T, op d'•• STYLE 907)Trei eve t I on A-) LEGAL DESCRIPTION L19 B32 Kokomo Towns i te i APPLICANT TUPPER INC. POWER Inland i JOB # 884 WATER Model • FHA CASE # ...r4 ,Z e.•!V:7 ,s" 7 3 SCALE 1"=20' ac-J. ••,..,?.: . ' , • 7-- . ' • f . <`... .. ...13 L •-• :„ - - • --. - ' • ' .‘i '4