1978, 10-09 Permit App: N0978 ResidenceCou
of Spokane. Washingpn
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 which are enforceable
through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
R rJ AetzE g'm /,
Name of Owner_ ( 4-0 NIAL CJON-T AAC"TUP...S Address 7/ ? S GD LbN per, Phone R22L(- 5098
Architect _ Address
Engineer Address
Contractor COLO Ad_— GpNt--rKAc-r'op-_S Address 714- .S. C.c)L.at.ihAL fR
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number OCj-- CJ%dL}-
LDTl f of 5I-toRrT PLAT- 7c -019 Of S (-25 L.11,
Phone
Phone
Phone Q2-41-50cy
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 83.'1- %C /2 S'
Stories_ Dimensions 2 t 1 x A.9...)
Rooms 6 Baths 2 Basement IJONE Foundation Const (-nFJ E --1F
(Full, part, none)
Heat. System El-Ec_T ISR Type of Roofing ,ONARStiT1c* Ext. Finish -r-ii,
Moving Bldg. Zone 1 Fire Zone
Sewage System SSP TI c_..
(Fr., Conc., Br., etc.)
Total Sq. Ft./ 4B6' Valuation 3-53/. 4r)(7
Chimney Fireplace IJr
(Number
Int. Wall Finish DRYWALL
No. of Units Bedrooms 3
Use of Bldg. R'ES 1I)E.NCc — A-rrACM J
ROADWAY R/W WIDTH 1+.5
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
FAIR,V)ELy
83 r Lit P)L
PRo Pcs!: 15
E I»Ncr_ (7P) r
1`.
I eby c t'tify
as show
ner
OUTH
mation submitted
is correct and
State License No.
DK ONF1LE
Ino. Ins. Acct. No.
3 --) 5-- -77
- COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
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
,11)- lfl
v N woo fpn17?
Your street address will be
V I 'e zone is NC/ZIGIA�-'t(�,FAL
3 Issued
Sewage Permit Number Issued Building Permit / Receipt
Remarks
Form 521 RIdr Cnrl=