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1985, 02-15 Permit App 00004177 ResidenceBUILDING 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) Department Only Tupper Inc I J. ✓ Comm 2 Project Address (not Mailing Address) or Road Name Space Zip E. 14015 Broadway Ave 99216 3 City/Community Spokane State WA Subdivision/Plat Name Legal attached 4 Assessor Parcel No. Lot Block I * * * DEPARTMENT USE ONLY * * * I2r 3 '' -52 . — Q2 ,, f'/„ �Zone 5 Sic Code Zone Act. # Ir `Cf i Project No. / J // 6 Dwell# No. of Buildings I Sq. Ft./Acre I Depth ) 25 Frontage cam' 7S 7 Set Bads -Front (L)S-1 I (R)S-2 'Rear Census Tract I Module No. Inirialsf 16 Architect Firm Name Street Address Zip City State Phone ( ) Contact Person Phone if different than above ( ) Contractor Firm Name Tupper Inc. Street Address East 12929 Sprague Ave Zip 99216 City Spokane 1 State WA Phone ( 509) 928-1991 Contact Person Ken Tupper or Debbie Kracher License No. TUPPEIR179DC Phone if different than above ( 50928-1991 8 Owner/Agent (if different than #1 above) Business Address 9 Zip City State Phone ( ) 12 Review Required N Plan Check (Y/N) Y Other (YIN) N I SEPA Exempt (Y/N) N Date 15 Type Work CX Bldg ❑ Fire ❑ MH ❑ Demo 2L New ❑ Add/Alter ❑ Replace ❑ Move ❑ Other 14 Describe Work Single family residence 10 Applicant Name Tupper inc. Street Address E. 12929 Sprague Ave 11 Zip 99216 City Spokane State WA Phone ( 509) 928-1991 Lender Street Address I Zip City State Phone ( ) Contact Person Phone if different than above ( ) Additional Information 979 Main floor 932 unfinished basement 32 uncovered deck Application Type (Standard unless otherwise indicated) Fast Track Early Start DEPARTMENT APPROVALS This is not a Permit (Indicated approvals required in either "release" or "release with conditions" space prior to permit issuance.) Environmental Health W. 1101 College Room 200 Conditions/Comments- O Commercial; ❑ Residential ❑ New Construction; ❑ Bldg alteration/addition ❑ Additional structure; APPLI ATION # Release Release w/cond 1 Hold 2 0 0 Planning/Zoning: N. 721 Jefferson O Commercial; ❑ Cert. of Exemption; 0 Frontage; ❑ Setbacks; ❑ lotw/d; 0 lot size; 0 use/zone. ❑ CU, variance, zone change; shoreline; 0 fence; ❑ Other Conditions /Comments Engineers: N. 811 Jefferson Conditions/Comments • ❑ Commercial; O drainage O road improvements% ❑ Residential; ❑ new access/approach; ❑ Flood Plain; O fence; Utilities: N. 811 Jefferson Conditions /Comments• Other: Plan Exam Fire Prev. Conditions/Comments' Project Representative Telephone Agencies Performing Special Inspection: 1 2 3 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for hold 4 1 25-4 of SW:; OF Si,' E LN OF SW_- OF SWc OF TH S5 FT Tn w16.8 FT. E. 1401$ Broadway Ave JOB #$yr /t 7 OF NW DA=; BE;; =T PT ON S LN LLOv AVE HE w166.5: FT TRH 5120 _T tr POE T- E66.8 FT !Z2 VC Aasrin D-3o3� 7.4,Q4,4_ j t .,set ....,,,� G'.P.rs*-ram o•. • 2 _ • 5 ��,— �.msiiD,E t4 r r��avcAC m/do c rzeve A—Ar.o.sf 4/4'74°4UTit d_,w,S}y 7.7",-"s — E. 14010 Broadway Ave. 14-25-44 PTN of SW of SWa of N1,►i DAF; AT PT ON S R/W LN OF MALLON AVE t E LN SW* of SW* TH W166.50 FT TH S120 FT to P08 TH E66.8 FT TH S5 FT TH W16.8 FT Style - 979SE Tupper Inc. JOB MOW 817 Modern Water Washington Water Power 1" 20' approx. -64Pep 7‘ - 7 hl# I