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