1975, 10-17 Permit App: L1869 ResidenceO`
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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 mast 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.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or'Stat�e
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with th) land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE q'q ki so
Name of Owner
Architect
r. t4_ {-toU a rrA Tit c.
Engineer
Cpntractor
CJ a: k c
Address 4` 9 0 7 11•1 L 9> L 0 K Phone
Address Phone
Address Phone
Address 5 et. r"- -._.
Legal Description of Property ( ive completed cription from d'_eel�,tax ax receipt, etc
4, r3 1 oc° ��", Cas`tfe /fitcicYt Gi. 3
3 33—
DESCRIPTION
f
DESCRIPTION OF WORK: New )( Addition
Size of Lot
0 X f()
Stories Dimensions
- Baths 2 Basement L Foundati
Rooms
Remodel
Moving BId )''_o''ne Fire one
3
Sewage System C Const. NPAL
_ (Fr., Conc., Br., etc.)
�J Total Sq. Ft c) / Valuation 3713-0
0
Heat. System
Use of Bldg.
Full, part non
v
Type of Roofing
t' D (Ki
X tact .i
on Const c` Lt C i -e Te
Chimney hr1Cndc Fireplace
Ir
A Int. Wall Finish Pry
�✓� t
No. of Units .1 Bedroofns 3
S I'Ld C Ext. Finis h/DC4 Art
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.
•Job w3t5 f
NORTH
Sec - - fir r 1,
I hereby certify/informat
r as shown.
S
TH
submit , d
or Agent
State License No.
a9-3 1- 1 0073
Ind. Ins. Acct. No.
REQUIRED .b
Plumbing Permit I
m Heating Permit 1/
Vt. 1 I 'e t{
NSewage Permit Lr `[Y 1 k r t'-
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
cor •ct an• there are no other structures located on this property except
Date
' A LAND USE OR STRUCTURE PERMIT UST TON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WR TE BELOW THIS LINE
Your street address will be
Sewage Permit Number
3 go
Issued
Building Permit
Remarks
i $-
The zone is
Receipt Issued
Form 523 Bldg. Code
ISS
R. H. HOOVER, ING,
REALTORS
E. 9207 MISSION
SPOKANE, WASHINGTON 99208-
PHONE -924-982-0'
Ls"ic?n.R1
5`' T, i-.IE/
ta
j FlorTrusses1.
�>i�4 - � f
/
,�
DATE 5
SHEET NO.
--(PROJECT
B Y �._
by
ROOF TRUSSES, INC.-it-
NC.,
924-1161
924 -1161
' It Bk.- c7/e !