1978, 09-22 Permit App: N0761 Addition0
or. of Spokane, Washineon
DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99260
ON FOR LAND USE OR STRUCTURE PERMIT
/� o0
ENTS PERMIT FEE l
PERMIT REQ ED. A land us or cture 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 BELO THIS LINE
Name of Owner
Architect
Address wt." 3 4/
99�a‘
Phone 972 y-6'785
Address Phone
Engineer_ : Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 3.3 5-0 a -. 90- /'D
/iz / s S .?K' 7 5 e 7,4'2 3 S Az A/ I
DESCRIPTION OF WORK: New X_ Addition %C Remodel
Size of Lot
Moving
Sewage System -/',c..../+ Const
!S o --r'+
1R., Con Br., etc.)
Total Sq Ft Valuation .F7) e0f7O c'o
€72- Chimney, Fireplace
(Kind) ,per (Numbers /
0.-t /t/ Int Wall Finish r .l.�,0X�e--
Bldg. Zone / Fire Zone c3
Storiesi_ Dimensions / f/Q r� e -X gay
Rooms T Baths -easement Foundation Const
(Full,ppart, no 1
Heat. System EC. .C3� Type of Roofing
Use of Bldg.
Ext. Finish
ROADWAY R/W WIDTH /p0
_ o. of Units Bed ms a•/t-P/J
-.-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NOFf)H
PLOT PLAN
property lines; (2) street or road locations;
lines and streets; (5) dimensions of buildings
I her
'as shown.
SOUTH
ix
41,
cern y fo .r. ion s ed
1111P41.... 1
is correct
ere
rn
N
y
(3) location of existing and
(6) location of sewage sys-
State License
Li'//ll 72 -est
Ind. Ins. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
9/a6/28- geteate
are no other structures located on this property except
Owner or Agent 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
Your street address will be I7(/ 3 �6' 4 _ _—" - ,e zonet4s U
Sewage Permit Number . Issued Building Permit 7) ') Receipt (]�3 I
Remarks I'
Form 523 Bldg. Code
A
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PROPOSED
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I her
'as shown.
SOUTH
ix
41,
cern y fo .r. ion s ed
1111P41.... 1
is correct
ere
rn
N
y
(3) location of existing and
(6) location of sewage sys-
State License
Li'//ll 72 -est
Ind. Ins. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
9/a6/28- geteate
are no other structures located on this property except
Owner or Agent 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
Your street address will be I7(/ 3 �6' 4 _ _—" - ,e zonet4s U
Sewage Permit Number . Issued Building Permit 7) ') Receipt (]�3 I
Remarks I'
Form 523 Bldg. Code