1978, 09-18 Permit App: N0655 Residence•
Couof Spokane, Washi
on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT6 to --
GENERAL
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 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 y iipft are enforceable
through civil action. County Officials can not bring action to enforce covenants or dedications.
7722:40_,
� //// yy/ APPLICANT FILL IN BELOW THIS LINE ///
Name of Owner 7722:Pr7- ///2/•rt�t-4.�f6 'Address �: '9/06 ,9i, (fee --a ✓/
Architect J G Address
Engineer Address - Phone
772
77037
Phone 9a v -.2.9/ 7
Phone
( j Address 9
Contractor _ Phone
Legal Description of Pro '"Give complete description from deed, tax receipt. etc.) Parcel Number a3 -rvi/ - 0 97o
s Z ecA o2 C,a, .S raa,-71-
1
DESCRIPTION OF WORK: New JC _ Addition Remodel Moving Bldg. / Fire Zone 3
Size of Lot 9a X' /3I/ Sewage System PCs
if
Fr., onc., Br. ecce
Stories / Dimensions /7 r ' .-S W Total Sq. Ft. / 39a— Valuation'"t r/ OOO--
Rooms_6r— Baths Basement .,-•4' Foundation Const a Chimney Fireplace /
(Full. part, none) + ('• alp ,t._ (Kind) �,,J�((NNu-mgb�berr
Heat. System �•. • Type of Roofing CS)' -f r Ext.li ..7—/// Int. Wall Finish-1t�;Nn
Use of Bldg. o • �/, rt: -A-07/ -I't/if/ - No. of Units Bedro s �.
ROADWAY R/W WIDTH S-01 O
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
SOUTH
I hereby certify//Snformation subm
as shown.
er or Agent
A LAND USE OR STRUCTURE PERMIT ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
State License Ni
Ka. den.
Ind. Ins. Acct. No.
(RESIDENTIAL) COMMERCIAL
REQUIRED
Plumbing Permit
ws Heating Permit
Sewage -Permit
Plans Received
Plans Checked
Plans Returned
P ans Picked Up
P ans Mailed /
l(IMMY'tekiftwi
rect and there are no other structures. located on this property except
Srbg
Date
Your street address will be 3,2, /0/7
Sewage Permit Number Issued
Remarks ___71,12S___
a
sued