1975, 10-17 Permit App: L1870 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE '6'�
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.
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 bt
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 State''
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
AhCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW
THIS LINE
Name of Owner R. . i4.. 1-f- - d o V (r C.- Address G -i i Phone cl ' !7
Architect Address Phone
-�-- Address Phone
f -OO ,'t!&'j .-L it C• Address 5 x2.0'1
Engineer
Contractor
Legal Description of Property (Give complete descrption from deed, tax receip etc) 3 Ta ' ! Cis 5
IS) 8 1 G c . k- �` C u s t (� /41--rLd ( c cal 3_3 — s'— 5/ic
Phone
/
_ 3
DESCRIPTION OF WORK: pew � Addition Remodel Moving Bld. done �_ Fire Zone
Size of Lot b e X 13 C)' / Sewage System .'. , (ffv Fonst. f ir-a. i.t e
Stories 1 Dimensions'..,a-`3`X It O 1 Fr., tion Br., etc.)
Total Sq. Ft 7 9�?0'�. Valuation � $ �®0
Rooms IT Baths Basement f ---u t a Foundation Const P+. Gy`t rf Chimney u r`tt k Fireplace
Full, part, none) 1 y (Kind) (Number
Heat. System 6-F I/V A Type of Roofing S k a k e Ext. Finish 14 C� c CC k -vac Int. Wall Finish a� Vs - t 1
Use of Bldg. r' e S t d e lot —ti r2 ( , 0 cf v- y e a—rter C 14. e'cl No. of Units 1 Bedroons 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.
m
NORTH
I hereby certify informatio
as shown.
SOUTH
it
is co
State License No.
-3 CI 10073
Ind. Ins. Acct. No.
REQUIRED
•isa
Plumbing Permit
m Heating Permit
tn Sewage Permit
V i4 1"'tett
k/ 1 k eF-
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d there are no other structures located on this property except
Owner or Ag Date
A IAND USE OR STRUCTURE PERMIT MUST B ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
NIS IS NOT A PERMIT.
t t l iltl 344, )
Y street address will be
Sege Permit Number
Reharks
DO NOT WRITE BELOW THIS LINE
Issued
The zone is
/('Receipt Issued
1
/4)U
Building Permit
Form 523 Bldg. Code
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-moo
ZA 4/6
1.26-y s'r 32(
4
FlorTrusses L
PROJECT
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DATE %5
SHEET ,NO.
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by
ROOF TRUSSES, INC..
924-1161
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