1978, 09-20 Permit App: N0609 AdditionCouna of Spokane, Washin
n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99260 %ti O
U
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 LINNET p f� yq,2/�
Name of Owner at./1n . (_nn . ae l Address cEs4"/, /.170✓Y-4i/-6-7y/ Phone 9.:2-4 —7. 4/Q
Architect Address Phone
Engineer Address Phone
Contractor 92142.4.4441, Address Phone /
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number-Pr/V:— 0C3‘1": i/- c 6. el -
s F:z56
i
Y Vag:
r/eeAlrLU:ab !7j?
DESCRIPTION OF WORK:_7ew - Addition _
Size of Lot _90• SO x//^•SSD/
/ /
StoriesDimensions 30X38 %tom./3
Rooms_a_ Baths..../._ Basement Foundation Const. l ld�'.�
(Full. part, none r
Heat. System /V�� G 5 Type of R�•fi'g •41 i�i .• .44 . '. Ext. Finish
Use of Bldg. . , a/.tli-..y •1 IffigL!,
/ ....e �_'1 •
Remodel
Moving Bldg. Z•On .� Fire Zone
Sewage
System Const �Z.if�KL
(Fr.. Conc., Br., etc.))
OG
Total Sq Ft /O/O Valuation 8000 --
ROADWAY R/W WIDTH
Chimney N'. FireplaceJlA
(Kind) / (Numb,��j
Int. Wall Finish ,T.//Ifli �Q
No. of Units Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings
tem and water supply lines.
RI
y
H&Ray 5r
90 50
`/
0`
ExIsr 1
RES. %
NORTH—
SOUTH
I hereby certify information submitted is correct and there are
as shown. x
(3) location of existing and
(6) location of sewage sys-
State License No.
0A
Ind. Ins. Acct. No.
RESIDENTIA - COMMERCIAL
REQUIRED
Plumbing Permit
nt Heating Permit
Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
.,24/7 ter
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 e. / i A _ ,i
Sewage Permit Number Issuedi Building Permit /g6tt 9 Receipt nOYO Issued
Remarks
e zone is
Foram 523 Bldg. Code