1979, 04-03 Permit App: N2486 Residencei
Cour' ' of Spokane. Washinc on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 02,
GENERAL REQUIREMENTS PERMIT FEE 70 XX
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 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 446.66
Name of Owner No12TNW%S']- Address P O. &PA 109/ PE. PARK Phone 2.76 —632+
Address Phone
Address Phone
NOg-TH Address P.O , gQx Io9t 741004, Phone 276-(e, 32_54
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Gl 54I-Oc]0i�i'
C-ONsT
Architect
Engineer
Contractor
Lo -r � Block 3 3) sf&NNyV11LE. APDrTYoh!
DESCRIPTION OF WORK: New Addition Remodel Moving
Bldg. Zone 1 Fire Zone 3
Size of Lot _701 �7a Sewage System SEPTI C.
Stories i Dimensions 2--t(DO + O I Total
Rooms Baths Basement F41-4-- Foundation Const.
(Full. part, none)
Heat. System PLECT PA Type of Roofing a MP1 SI-TLhs/Ext. Finish --r-11t
Use of Bldg.
�L�LGRIE'fi
Const.
1 r�q7 (Fr., Conc., Br., etc.)
Sq. Ft I z Valuation 'F,4i i, j QO '
Chimney! EAJ Fireplace L E—
( ind) (Number
Int. Wall Finish Y10444.—
No. of Units Bedrooms
iZ S1D-NcE—CA.�46i7< 4-D!`G _ A-rTgs _
ROADWAY R/W WIDTH___ f
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
trr-TAc l4,D PLOT "W
SOUTH
State License No.
OitON LE
Ind. Ins. Acct. No.
7- /� 79
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
A PP -11 331477
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
Sewage Permit Number
Remarks
tJ _0___I 1 coNkLin ROAD n�'l _The zone is S17J6LIE FAMILY KES
Issued Building Permit Receipt oOJrtFIssued
Form 523 Bldy. Code
f
CW) ---- --- Go.3
Requested Price *iitoov °
Lot Cost -*igs-006*
1o'
0'
cn
16
-J
V
CO
Elmo
Stili 1A M"
s'
1
3.2'
Seale:
yy�
' 9v SPc.z--r
a
2 a'
WALK
9o.0
l G`x 2S'
Qrai.JAY
ELEVATIONS:
Crown of Street 4/
Finish Floor 4-G..2S
Basic:
FHA Case #
-Sq. Ft.
/o9
Sob#
.043y
-Legal
LCA r R e!_.or. 3 S'w✓�/S v44,Z ,441/S=-rxea
Address
Mortgage Co.
A • ►Av..2. d- nn
Power Co.
GJ (A)Ps
Plumber
Al r
ater Co.
%zcavator
Parcel
4", L/C /g Co/0Lt-c�A,�