1978, 09-19 Permit App: N0688 Residencei
Ep
APPROVED AS C- ' -IP
of Spokane, Washin--*on
n�
SpokaCounty Bldg. de D y P
Date 2 BUNG CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
b`:► -11 P QN FOR LAND USE OR STRUCTURE PERMIT
GENE 14L REQUIREMENTS PERMIT FEE /t
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 an not bring action to enforce covenants or dedications.
APPLICANT FILL IN BEL•W THIS LINE / /_
c17/ / i - #Cd!ahone ILA` G/"-'
2
Name of Owne
Architect .
Engineer
Contractor
Address
Address
Address
Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel
Phone
Phone/
Number (�lsi e
DESCRIPTION OF WORK: New L/ cl�jti Remodel
Size of Lot.5/6 V
Stories Dimensions
Rooms Baths/ Basem
(Fu part, no .'
Heat. System E i n.T e of Roofin.
Use of Bldg. „._____)7 HW -14 /LL�i
RO %"�' W WIDTH ®'
L / ` tal Sq. Ft.
Foundation Const.
Moving Bld. Zon
Sewage System f_ lit Const.
(Fr., Conce
V uation ./ A1•
Chimne Fireplace
(Kind) /
re%yeLz,ber iiio
Int. Wall Finish C
No. of Units Bedrooms 3
Fire
3-
PLOT PLAN
aw 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
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NORTH
I hereby c rtify info
own
_Ng
SOUTH
re
a
State License No.
213 g/ /y0- //o
Ind. Ins. Acct. No.
226/1 6 "1 i8 -
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7/4 a'8
on submitted is correct and there are no other structure locatQd on this property except
Owner or Agent
Date
i- /y73
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
ey�ilhe zone s
i Receipt d E Issued
DO NOT WRflIE BELOW THIS LINE
Your street address will be 5/7 x2, NY7
Sewage Permit Number
Remarks
Building PermArAV
Form 523 Bldg. Code
l
•
r`D
PLOT PLAN
"f7
10St, S1911'4
F
az
Uoubl . c
G c,fa9e
Requested Price /6,/odd''-
of Cost t76" ---)0c)
(_s
,4411
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Scale:
Basic:
1 o o
ELEVATIONS:
Crown of Street ÷/
Finish Floor
Pt1A Case #
Sq. Ft.
Job Jo #
Legal
LO Jc t Oc-b t -.v\ fL/v
Address t
(e_ ;4c1d,-/-,o�,
ort gage
ka r nie r,
Parcel #
Power Co.
S Wu) 1C)
Plumber
LCL -
Water Co.
C° or so rickie d
Excavator
IL?0 Q�
NWCS FORM #L)-