1978, 12-08 Permit App: N1647 DeckingCoufl)y of Spokane, Washirgton
• BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE_._35
GENERAL REQUIREMENTS
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. Watersupply 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 unt I 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 bui ding. 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 SPnKANe, erizan
Name of Owner J . • L. 51410.94) Address Iff22 14 13E SSIE Phone 124-76(tit
Architect Address Phone
Engineer Address Phone
Contractor •J&Q KY L. SIMtU Address 02.2 N RESSfC. q(12-6() Phone '32L{-76454
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number Ies- I%y- 034o
N. 72. '-0-p toy G g y ct l `% / U(nc. l-FIN.SDnf 'S ADD moo
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg Zone 1. Fire Zone
11EX(Sr
Size of Lot 12• X 12.01 Sewage System .Senn Const.
Gonne Bre., etc.)g
(2' )( 201 Total Sq.Ft.240 Valuation Ga'lOn-yq-
Stories Dimensions
Rooms—l— Baths Basement NDNP Foundation Const s?nt.lr,RW. Chimney Kik Fireplace
(Full, part, none) (Kind) ( umber
Int. Wall Finish ,ij%Y1,t/i{]J--
Heat. System FL -Kr
Type of Roofing DFLIGI& ,
Use of Bldg.
ROADWAY R/W WIDTH 1110
a_11 P ■► •
Ext. Finish -r-
A.
. tt. •r �. r
(T No. of Units Bedrooms
Ravi IDeNCF
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.
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NORTH ,
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EXISTING
RES
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SOUTH
I hereby certify information submitted is correct
as shown.
P� $L
Owner or Agent
State License No.
DLf/NF.,—
Ind. Ins. Acct. No.
SIDENTI - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
SFr_ Pi /915'
Dat e
A LAND USE OR STRUCTURE PERMIT MUST BE ONITHE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will be 6 29 \• : Sv Wre zone is,/2.A�tGRIGIAI—..20
Sewage Permit Number Issued _ Building Permit I y p
Receipt LjO Issued
Remarks
Fnm. S91 RId-, Cnde