1978, 10-11 Permit App: N00991 ResidenceCour' y of Spokane, Washing
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE,
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs. -
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 State Highway, clearance must
l e obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory building (garages, sheds, etc.) require a separate permit.
�fESTRICIIVE 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
Architect
Engineer_
Contractor 4.,4411/1 J
Legal Description of Property (Give complete descriptio
.Address /
Address
Address
edd'%y
Phone 6_4_2
_ 9sti`3
Phone
Phone
Address Phone
rom deed, tax rec ipt, etc.),Parcel Number 4,57`rja '% ei c
DESCRIPTION /05��,,,,WWWlORK: New Addition Remodel Moving Bldg. zone ___i_ Fire/ one
Size of Lot ( Q��/�/L� O 12 -/ C /^-2 n' Sewage Syste Con
�,pr / / g _ O IFr.,
Sto lsi Dimensions ` of l� a� Total S•.
Rooms--_ Baths - Basement FJ ndation Cons C32{/L.. m (, Chimney
Full, part, no r___1/1
Heat. System i _ Type o Roofing / cii, Ext. Finish
Use of Bldg.
Int. Wall Finish
No. of Units Bedroo
ROADWAY R/W WIDT
Draw sketch with dimensions showing: (1) property lines;• (2) street df road locatio s; (3) location
proposed buildings; (4) distance to property lines and streets; (5) imensions of by ihping;. ati
tem and water 'supply lines. 7-
NORTH 5 ate Lii
-I
SOUTH
of ex}sting and
RESIDENTIAL'- COMMERCIAL
REQ IRE• /
Plumbing Permit / = �!
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/o/ii/iY .e.�..
I hereby certify information submitted is' correct and there are no other structures located on this property except
9 Il` .r\ / o -//- 78
Owner or Agent - Date ,
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES..
THIS IS HOT�AqPERMIT. ER ITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
Q'J f i�, DO NOT WRITE BELOW THIS LINE
as shown
Your street address will be
rewage Permit Number Issued
Remarks
Building Perm
4 q
e zone
Receipt_
�.OT 5 DLOCK Z. VALLEV Me Aketsott Sfl(-1-.+4 A1D'D.
FlorTrusses
by
ROOF TRUSSES, INC.
924-1161
PROJECT
w,
S. Gotit ST, INC
DATE 1- J3.76
SHEET N