1978, 10-18 Permit App: N1166 ResidenceCoin of Spokane, Washin on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
so
GENERAL REQUIREMENTS PERMIT FEE /00 X .
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
be obtained from the County Engineer and /or State Highway Department.
ACCESSORY BUILDINGS. Accessory building (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 «CoEuR_ htALrNt 83 ?111
Name of Owner u%, R. PE. GROF 1= INC..
Architect
Engineer_
Contractor
W, K • Dr- cKOFF INC.
Address / //o N '+TH S-r Phone 66,7 9s6 3
Address Phone
Address Phone
Address f /10 )•1 4 -4 ST IP3X Phone 6A-7-g5-�3
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PTN OF 0 755-4" / 0
3 'C •GK 5 N 'P► /l•L
DESCRIPTION OF WORK: New K Addition Remodel Moving Bldg. Zone ) Fire Zone 3
Size of Lot / 301 )C 1401 X 122 ` . 39 112.1�. Sewage System 5Ef'TIC Const. FRAME_.
(Fr., Conc., Br., etc.)
Stories _2_, Dimensions ,?.C) ! X 401-I- 2W t X 2S- x /0 X )Z 2/ )(ZS' 1 Tot SSq 22 -5 Valuation
Rooms 6 Baths 2- Basement FIA1 -L— Foundation Const GONCR.ET -. Chimney_ LFireplacei-- M.%TA1
(Full, part, none) (Kin 1 ( umber
Heat. System ELFct-F.A -• Type of Roofing COME 0S1Tld1y Ext. Finish 'T j /l Int. Wall Finish Pg.YWAL -2 -
No. of Units Bedrooms
Use of Bldg. R 1DE& . GARAGE. cL 1?E J A rrAc -L1�
ROADWAY R/W WIDTH
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.
to
NORTH
AU4U -T VE-
I hereby
as shown.
ify nf.rma ion
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SOU TH
Owner or Agent
State License No.
OK- aN FILE �5
Ind. Ins. Acct. No.
L - COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ted is correct and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A P RMIT. PERMITS ARE NON- REFUNDABLE AND NON- TRANSFERABLE
'Iv Wye R/ ( /'75' DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued _
Building Permit
e zone 61 FAMILY R.
Receipt Issued
L.