1978, 11-14 Permit App: N1406 AdditionCoolly of Spokane, Washiefion
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT m
GENERAL REQUIREMENTS PERMIT FEE 147 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. SS 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 performs 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
Name of Owner a S
Architect -
Engineer
Contractor AA )W F FKA KIc IS
Address _29/0 NI- DoKA SPOKANIM, Phone 928-11990
Address_ Phone
Address /� Phone
Address 2,10 N Do RA- 99206 Phone 92.118- 16990
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number12s,I— 2GO1 -
114C- N z OF THE 5-11 nF 31--ocJC /S-97 oRcI+Al2D AIJFlv4'UE -- AYJ/)ITIOM
DESCRIPTION OF WORK. New ' _ Addition X
Size of Lot 75 1 X
Stories 1 Dimensions /21 X to •
RoomsttL NE
- Baths NIf Basement
(Full, part, none)
Heat. System SJ_6GTBB Type of Roofing
Use of Bldg.
ROADWAY R/W WIDT
i
I�
O
H•3SS
Remodel Moving Bld Zone / Fire Zone ,3
y Sun'Jzyyrn., st.Conc._EIZA'. MF
r 1Fr.Br., ettc.)"
Total Sq. Ft. 2/6 Valuation 1/10U—nx c
Foundation Const Co Nci Tr Chimney ter ) Fireplace( 1m
CAM FDSfT7DIxl Ext. Finish T—I 11 Int. Wall Finish DRYWALL
• ♦ a • ti MC -7 No. of Units Bedrooms
RE.sIL'8PC
1a.
Sewage System
0
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 aid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
J
` in
.- r
p
N.
to
EXIST1Ny
`
18 90.96'
-RESIDE cE-�-.
-
—
_
PRDasaD
App,-rwN
/L/& I p/L
SOUTH'
State License No.
oWNfR
Ind. Ins. Acct. No.
DENTI• COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
i+/lei/ 7iCQ A
oK
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown/ M 2e -'2.e NO V, rLI Mr
f` 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 G
11/1)
Your street address will be
Sewage Permit Number Issued
Remarks
.29/o N. DoIQ
e zone is M IGULTIII'AL— SUB,
Building Permit Receipt eider? Issued