1978, 09-18 Permit App: N0629 ResidenceCourcy of Spokane, Washin 'on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 97/0
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 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
Name of Owner_f rAP-VKy FR/5f3EE
Architect
Engineer
99n 3t'0
Address P- D• ,a0X 136' %OG(fFD Phone 241'35-7
Address_ Phone
Address Phone
Contractor J 3 14 FRAM] MG Address P 0r BD 157 gfC kFLIRP Phone 29'/ -36-pc
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 203Tt2.— 0307
1—o -r 10 DOA ltS 62EP-JU AcIZEs scia-o11,1,si01.1
I
Sewage Permit Number
Remarks
DESCRIPTION OF WORK�:o New Addition Remodel Moving
�v I x 1 $' Sewage
t V /
Dimensions 2n 2.9t 2tl ,(LH -*22 X211-1- X /2
Size of Lot
Stori esT(4-
Rooms Baths 2- Basement P44-1.— Foundation Const eshiCEM-re -
(Full, part, none)
Heat. System I i,-��eT F-/ - Type of Roofing r/1MPQSfiGO/..f Ext. Finish 7-W
Bldg. Zone / Fire Zone3
System 5rVT1c— onst.
(Fr., Conc., r„ etc.
Total Sq. Ft. 2)'A» Valuation' SZ ri OOSa�I
Chimney Fi repl acwiAed--/ Ry
(Kind) �,p (Number
Int. Wall Finish • Y"Y-'L
No. of Units Bedrooms .3
Use of Bldg. L _ i.r . - —6
ROADWAY R/W WIDTH GO'
Edi,
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
H
NORTH
5 E- f1/4 -77 -Ac NED
SOUTH
State License No.
CIC. ON Fl LE
Ind. Ins. Acct. No.
L - COMMERCIAL
'REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located 'on this property except
as shown. „tQo
Date
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
s will be ,I� _ (: - .' .i • i e.w. 1 by/ ,e; zone is AGpieiAi--I-UPJtL,
Your streetnadd?
Building Permit
Receipt (Oa/ Issued
J & H FRAMING COMPANY
P. 0. Box 168 - Rockford. Wash. 99030
(6 0
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$ ; •
11 0 I 6%