1978, 11-03 Permit App: N1341 ResidenceCou.-Ay of Spokane, Washir-lion
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Se3
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 BTIILDINGS. 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 ri.'u� _
—
Address C,
Address
• 4(2.4 1 ,4.4u -91.z OG
- Phone �Zg--ems-:
Phone
Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PTA/ —/ 7�-i3� — O %<2-
L O 7- 2 D L3L/(I
DESCRIPTION OF WORK: New__ Addition
j/3Z
Size of Lot
Storie
Rooms Baths_./ Basement
(Full, part, none
Typeof Roping
fp
e
ROADWAY R/W WIDTH
Dimensions
Heat. Systeme'
Use of Bldg.
Remodel
Moving Bld Zo e L Fire Zpne
Sewage System �� Const. s
(Fr., Conc., Br., etc.)
Foundation Const. �--���1 � Chimney ✓YA Fireplace /,4
(Kind) (N umber� 417
Ext. Finish 77:-/// Int. Wall Finish A71
No. of Units Bedrooms
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.
m
NORTH
stdLe_ ✓I 111..i!/�✓GL—
SOUTH
State License No.
0 t'C 2 itl t=/X
Ind. Ins. Acct. No.
cfl SIDENTIAI - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
• Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
///
I hereby cextifj* inforrpgtion submitted is correct and there are no other structures located on this
shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
.00 DO NOT WRITE BELOW THIS LINE
property except
Your street address will be C7 1160,3 i
Sewage Permit Number Issued Buildin
Remarks—_L-�&° _ y, 2 &Z - .-e"
For 523 Bldy. Code
3
e zone is ..�. ..�./
Receipt a"7,-1� Issued
i
I
N
BLOB DAVM BUILDERS
E9723 SPRAGUE AVENUE, SPOKANE, WA. 99206
0
CV
12
12
ro
1000 GALS
n 51
10x 22 SLAB
G RAVEL
TO
G RAVEL
ROAD
36
N 894 S
,00
s o °
cc
w
15
SCALE 1 = 20
1'
3