1976, 07-26 Permit App: L4819 ResidencePoeT oQ �t 53-3 - Loon
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Cosnty of Spokane, Washangton
BUILDING COLS DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 50.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or` alter any building or structure already erected, or to change a land use. Construction must conform with the )
( Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply .must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface; shoulders or ditches,of County Roads, permission must be obtained from the County Engineer's Office. r f!
PARCEL 43
The S.
county
all in
90 ft of lots 18,19,20 and 21, Blk 10, except
right 'of way and lots 13,14-,15,16 'arid 17, Bik 10,
Bettman's Addition.
Perpetual easement for drainage over and across the
easterly 10 ft adjacent and parallel to county right of way.
-wutcrare-enrorneutile through civil action. County Officials can not bring action to enforce covenauta-v.--
APPLICANT FILL IN BELOW THIS LINE
Name of Owner e 1 I hl 1 c5 LUd �' lU(17 Address 6731 r5 E SP RU G V E Phone 3 g -U 3� 1
Architect V Address: V Phone k
Engineer L......"" Address V Phone v
Contractor -.1)‘. 6. J', Gt N ST /NC- Address 1i Phone 1.----
Legal Description of Property (Give complete description from deed, tax receipt etc 1
ciFF JET-TAGNED 1STiEE-
p A `R 3 +
PoR"- 2y S33 -/s e-2-)663
DESCRIPTION OF WORK: New 1Addition Remodel Moving BliJ dg Zone ..1._ Fire Zone 3
onst.
//��•
_` Ln 1 IL.O� VFr., Conc., Br., etc.)
Stories Dimension�si l45 �70� O Total Sq. Ft. Valuation - 3 �� OC20
Rooms Baths oG Basement V ( t Foundation Const G 0 :.) C Chimney MA 5 Fireplace 1
,Full, part, none) G (Kind) (Number
Heat. System Z 4 .E , Type of Roofing Com P Ext Finish .X*-- 1 0 Int Wall Finish CP1RV('CJ lLL
Use of Bldg. 1'-- '? i 5 No of Units 1 Bedrooms 3
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Size of Lot
90 X 11U-1 SO PhuSD— Sewage System R 1 V
NORTH
RESIDENTIAL - COMMERCIAL
S -cc l4T`lAc HE.D
.ltl eGGc 6 {/a
/Ouse Jaa6
�66x _
SHEET
SOUTH
I hereby certify information submit ed is correct and there are no other structures located on this property except
/ .
m
N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(Lc- 141, 44..E
Date
Your street address will be
DO NOT WRITE BELOW THIS LINE
I Li ao 5 B E-r-r,I4 4/\J
Sewage Permit Number Issued Building Permit '
Remarks
The zone is
Recelptfi/ / 7 Issued
Form 523 Bldg. Code
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PROJECT
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DATE V -20-7C
SHEET
NO.
by
ROOF TRUSSES, INC.
924-1161
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BY /few
R CoNsr. iNc.