1978, 12-22 Permit App: N1734 ResidenceCouic , of Spokane, Washin *,on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 'l sr0 F
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 . •uilding
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 AL ENE, ID 835))y-
Address iji D N, 4T14 l c261 tag_ Died Phone �O il°
Address Phone
Address Phone
Address Pia N- 'TJ+ P 361 Phone 201S" -66' 7-14-63
Name of Owner . ' Ol✓
Architect _
•
Engineer
Contractor V). {? . DE 12
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PTW OF D 7564 -- /6(0f)
/-o-T- 7/ S/-3Gk 2 / 51AAPsS N AIDE, r laAL To 6gE t∎AcC,RE -S
DESCRIPTION OF WORK: New Xi Addition
/I 31 X /3a'
Size of Lot
Remodel
Stories /L-' Dimensions 2(0 r X' 01 2 IX 7 •-{ -)O% X12'
Rooms Baths L Baseme -' / Foundation Const.
(F O part, nonR
Heat. System /E JFiq Typ e of Roo fing 0
Moving Bldg. Zone / Fire Zone
Sewage System 3E ri G Const. _E
Sic l3 r Fr., Conc., Br., etc.)
Total Sq. Ft. 2- J-7�1 //Valuation
Chimne Fireplace_i
(Kid- nd) Number
Ext. Finish
l /11 Int. Wall Finish t; C
Use of Bldg. R,EC /I ICS — -i PaElOg,941vUlo. of Units Bedroom
ROADWAY R/W WIDTH �
RATH
■1 "I & - 11
P k.mr IJO- N 116,-, cIL ix2� , sxIa
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of exis ing :Is
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
to
NORTH
I hereby certify
aslibwn.
SOUTH
2J 7S NI ►w sqP- (6'40 DL
information , s/ubmitted is correct and there'ar'e no other structures located on hiss .ropeeert ex elrt�
7ceN,6,
Ind. Ins. A 1
RESIDENTIAL - COMMERCIAL
��tr� �` E
Plumbing Per it
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON - REFUNDABLE AND NON- TRANSFERABLE
DO NOT WRITE LOW THIS LINE
/2 2
Your street address will be
Sewage Permit Number Issued
Remarks
`'�'LCet!�� /zone
Bul ing Permit Receipt