1978, 10-11 Permit App: N00985 Residence=`J
'J
Cou / of Spokane, Washin ,; on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON,' SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .
GENERAL REQUIREMENTS PERMIT FEE / U
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. r
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land which are enforceable
rl Smit civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Mena
Name of Owner/20-lY t "fSit /J! 1;,-�
Architect'
Engineer ��"eO j
Contractor /weep 62:5>ILr tcym Address /a/ -7a1 t tc 4c2.fiPhone 9O?f, -Y41,00Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number oC a6rS7ScQ- 030 /
Address ___ej.: e / 40' a/4Ci CPhone 9:0660—/ T'
Address / Phone
Address Phone
DESCRIPTION OF WORK: New
Sizp/oj.L.ot _ /9& lC
Addition Remodel
Moving
Sewage System
To
Stories .gCDimension
s i� JC 94 x /1 / X Z
Rooms Baths _/_-/_2., Basement Foundation Cjnst.
�rrI, part, non p�T1.,, �
Heat. Systemld.I?t....r:Type oz_fzt ng / Finish
Use of Bldg. .PD�</(/�' 8,-).„.. / r
J
ROADWAY R/W WIDTH
Bldg. Zone / Fire Zone
j 4 % Fr. C c.. Br c..)) /�q
Tote 5. Ft Valu ion d /
Chimney Fireplace—.>�_
(Kind) (Numbe
Int. Wall Finish W's-CXJ
No. of Units / Bedro ms c s3
?Vier
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2).street or road locat on £; y3) At/ba-iion of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buil•ings; (6) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
/0-// - cc -a -1.4/-4.S
Ind. Ins. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
rrr Heating Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned - -
Plans Picked Up ..
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as \oshown.AnA
Ao 2
Owner or Agent C
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
dh ^ DO0T WRITE BF,L"9YV THIS LINE
Your street address w111 be
SewagePermit bei /
Remarks Issued
arewarror
Building Permit
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e zone is `�—�
ceipt
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