1976, 07-20 Permit App: L4820 ResidenceCtianty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE
IQ'.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with th
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 disturb
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -RACK FROM PROPERTY r,TNES_ Tn most zones and under most circumstances, a set -back from the front property line, of at
• eyard are required.
PARCEL #4
Lots 5,6,7 and the E. 15
S. 60 ft, and except the
Bettman's Addition.
ft of lot 8,
Blk 11, except the
county right of way, all in
Perpetual easement for drainage over and across the
easterly 10 ft adjacent and parallel to county right of way..
APPLICANT mi. IN mts.vw i Ora �.....
Name of Owner 1` N 15 Address (9315' E. S P A! u E Phone
Address Lr Phone
{{�� �+ Address Phone
-0,a.] .S. Tl'3 �T 1 fV C Address Phone v�
Legal Description of Property (Give complete description from deed, tax receipt, etc ) ` t ' 6-3 3 - 1 G 1
Architect
Engineer
Contractor
536--0-351
-1)P4-0 _ #
DESCRIPTION OF WORK: New L''''. Addition Remodel
Size of Lot 1 5 y 1 too 1 50
Stories Dimensions a ()4 0
Rooms 12_ Baths Basement fl." Foundation Const
T-
Fu L L I, part, none)
Heat. System -kit, E. a Type of Roofing CJO/4 P Ext. Finish
Use of Bldg. 1— i2 5
Moving
Sewage System
C.,o N
BId . Zone ( Fire Zone
Pk'1VA1ConsConc., Br eec.)
Total Sq. Ft 14o0 Valuation 3*, COG
Chimney M4'5 Fireplace i
(Kind) (Number
X —9 0 Int. WaII Finish DR\1 WWA Ll -
3
No. of Units . 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.
NORTH
RESIDENTIAL - COMMERCIAL
E AT -t A -G i -E.0
t/T
SOUTH
I hereby certify information submitted "s
as shown.
correct an
State License No.
Ind. Ins. Acct. N�.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
i'➢-nr...lyt-, 4j DO NOT WRITE BELOW THIS UNE
Your street address will be 1 56 (7 �c --$ .eT T Al Al N The zone is ;----( it---LiSew
age Permit Number Issued Building Permit Receipt -77L ued
Remarks 1 e, 3
Form 523 Bldg. Code
50
10'
ys
z�
0'
3o0 s -P.1.,1'* EEN-Tie
GAeAGE UNvse
15'
3 tO'4
goo 9 NK
1_4,r0 / 1D
z'
4/6
/2'
29'
/a0'
FlorTrusses
PROJECT
lf5'0 6 BE 7Ti111/1
DATE7-RO-7C
SHEET NO.
_ - - _ J:_ ,J
by
ROOF TRUSSES, INC.
924-1161
sr ).E Si
- Co N Si` INC.