1979, 05-24 Permit App: N3575 ResidenceCour "-'f of Spokane, Washin' ion
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
0
PERMIT FEE 78 XZ
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 it 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.
I au bandies this residence far my Gun peeena use and I understand the STATE CONTRACTOR'S
LICENSIIRe LANs
.. Date :51y� ¢
vcw,a mu ] 6
Customer' a Signature
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 <PAKAA1 . q92/60
Name of Owner (-,EPft,.6E. T. FOSS Address J412/D E. RIGH Phone 1211—Lizn
Address Phone
•
Address Phone
Contractor t Eni2GF -t Rn SS Address 1(12, lo .E-- Rid-pl 99216 Phone t.2* — if 203
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 02 .5-5( 2 —5603
t-fsT 3� RLoctc KaBEzr [ QL1IS SUR
Architect
Engineer
DESCRIPTION OF WORK: New X Addition. Remodel
Size of Lot — I/O ' X /6-,4.1 /
Stories Dimensions 2.6,' )L 6,(O t A.sinI.4S .T r� ZZ r
Rooms Baths Basement r441-4_— Foundation Const CON "!'E
/ (Full, part, none)
Heat. SystemJAS FA Type of Roofing GOMPOSI TLON Ext. Finish -r i /1
Moving Bldg. Zone / Fire Zonew
Sewage System SEP 'TLL const. EIZwW)
Fr., Cone. Br.,etc.)
Total Sq Ft /(a065 Valuationt-55/006 XX
Use of Bldg. IZGS Ib wr S A EL— krrAcHf-
ROADWAY R/W WIDTH sol FLANKS Si?
Chimney /M&SBNr fireplace i�tlA3mi�y
(Kind) ( umber) S -r,
Int. Wall Finish AQyliOktsi.-_
No. of Units Bedrooms 2
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.
NORTH
J
a
\
151
Z '
u
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Ro GK
90. lo' PIL
ELL AVE
0
SOUTH
State License No.
CAAWF79
Ind. Ins. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
S7'3v/7
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
May 2'J JC
er or gent 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 BELOW THIS LINE 7(
Your street address will
beT4. 315 RERoAb
Sewage PermitNumber Issued Building Fermi
Remarks
L
e zone is1Wa P%4MI% R.ESS
Receipt Ale Issued
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