1979, 04-23 Permit App: N3071 AdditionCo of Spokane, Washi to
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 00
GENERAL REQUIREMENTS PERMIT FEE �l k,4
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 performeo 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
6/92/6
Name of Owner f f T- 4 2AT Address .5 2 2.b
Gi_iE2Ry ST Phone cf?"-4—(P% J
Architect " Address Phone
Engineer Address Phone
Contractor KEN SANDEILS Address k) /6,11 YORK g(32.ac" Phone 32,5-2e4I'
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Z75Lf .2,- 2,6OS
4 -n -r 5', ti Lo c,K I I 14 I ! J G Z E 5T C RE.S ?'TN I4f OL -T i 01S1
DESCRIPTION OF WORK: New Addition )( Remodel Moving Bldg. Zone 1 Fire Zone--
•
Size of Lot 9S'1 X 74.E ' Sewage System EX/ST Const. FlzAME
r., Con Br.. etc
_.L.
StoriesDimensions 18 r (FX Total Sq. Ft. 3%Q Valuation 2O(7O-�ac
Rooms-_--- Baths_i/4 Basement AIoNE Foundation Const. CINC(2f..-71V.Chimney )A Fireplaces
(Full, part, none) (Kind) (Number
Heat. System 105t Type of Roofing (ADM lb?SfTION Ext. Finish (YEN Int. Wall Finish OPEN
Use of Bldg. IhDpfr1ON QF A PATLO COVER. Tb EXISTING RENSIpE,s4CP..No. of Units Bedrooms A/A
ROADWAY R/W WIDTH 50'
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. MNKE— G{1t-e,p
State License No.
NORTH
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PRD PD L EI2 PA -11.0
ApprrloN
EXIST/N6 RES! DENGC
i
7
SOU TH
223-ol
5/F- )c 2. 37 MI --
Ind.
L
Ind. Ins. Acct. No.
7-73 -77
SIDENTI4 COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herebyertify inform on ubo ted is corr-ct and there are no other structures located on this property except
as shown.
APR)L ic177
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
DO NOT WRITE BELOW THIS LINE
Your street address will be S. 22(,20 GI-tERR\4 s'-j"pF"'( _The zone Is1 SJL.P/ FAMI 12.1�C
Sewage Permit Number Issued Building Permit N,67/Receipt 0 r5_ Issued
Remarks _J j, /a'IG E e14� 2 44P' -'1? / ^T s ET 12,
ii, Form 523 Bldg. Code