1978, 09-19 Permit App: N0777 ResidenceAPPROVED As NOT
Spokane Cou r 4g.
Date
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N ER /I L
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ur— y of Spokane, Washinrp' on
DEPARTMENT, N: 811 JEFFERSON, SPOKANE.?WASHINGTON 99260
N
FOR LAND USE OR STRUCTURE PERMIT
REQUIREMENTS
PERMIT FEE
PERMIT REQUIR D. 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-
strucdon must have inspections.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs thel 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
Architect .
Engineer_
Contractor ni/•itisf P .
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number a4.SJ_ "4. 0.341,1
Address
Address
Address
Address
Phone
Phone
Phone
1,67- RLK 1 04d Cz-
DESCRIPTION OF WORK: New X _ Addition
Size of Lot qO GX i q 4
Stories_i/_.
Rooms !°
Heat. System
Use of Bldg.
Dimensions
Baths -Z
Basement
Remodel
_Foundation
(Full. part, none
Type of Ro9ffi/ng id.1}"Y✓i�C1.i
ROADWAY R/W WIDTH
30 )69'k 19tip tea -1
Moving
Sewage System
Bldg. Zon
X11 P -t ' Co
(Fr
_Total Sq. Ft./9 'i Va
Const. '-' Chimney/4
(Kind)
Ext. Finish 7-//!-p�E/ J Int. Wall Finish
No. of Units
Fire ne
nst.
., Conc., Br., etc- U
�y,rl�r
ation lyui54%tW4
(Num. er
Bedroom
PLOT PLAN
Draw smith 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.
NORTH
SOUTH
-Ol-
State License No.
MY -ER -SC -C .2.27 41Q
X
Ino'. Ins. Acct. No.
ESIDENTJ$L - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
��Q
9/x0/78 /444470
I h reby c: tify inf. ��..� s bmitted is correct and there are no other structures located on this property except
as shown
Owner :r Agent D to
A LAND USE OR STRUCTURE ' - MIT MUST BE ON THE 'PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERM} T - PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
O/11 wti$tYm J DO NOT WRITE BELOW THIS LINE
Your street address will be +G1 t 3 ,L5 0A R l'r52 RLQ a zone is
Sewage Permit Number Issued Building Permit ^72 Receipt Sid Issued
Remarks
Form 523 elda Code / 2�