1978, 10-26 Permit App: N1206 PoolCoun
of Spokane, Washin4n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
L,
GENERAL REQUIREMENTS PERMIT FEE '73 %04'
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 SPoKANe 9`/2o�
Address S 7.75 1-MUK Phone224-06c(q
Name of Owner %ten 8"91-[I qt A✓n
Architect. Address_ Phone
Engineer_ `, Address Phone
Contractor ItoLi ()t y Pop( S CO,Address Sox P4 704 92/11 Phone ti2S-11-500
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 2..2-.S1.L.2_. — 2..72
LOT- T/, ,BLock z,! M- a G :E - e RE -PE S su .BR � eAKI HDMa
�9D1 NJ n1F oprouNI"TV
DESCRIPTION OF WORK New X Addition Remodel Moving Blda Z9ne I Fire Zone 3
Size of Lot ?Po' x I1112I Sewage System XXILSI __Sae J1 Const.
t� Fr., Conc., Br., etc.
Stories tip Dimensions I J~ X 35`-I/I - Total Sq. Ft.-�9 "S Valuation �O•
Rooms WfrBathsWA' Basement VIN Foundation Const /Pr Chimney NA- Fireplace P'
(Full, part, none) 1,� (Kind) (Number
Heat. System lit\ Type of Roofing 1 lst Ext. Finish ?Wt`Y.GLA5S Int. Wall Finish FiaegALAss-
,
Use of Bldg. SW /MA/111VG R00L— -PRI UATE- No. of Units Bedrooms f\M-
ROADWAY R/W WIDTH -b'
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.
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SOUTH
State License No.
0 K- ON FII
Ind. Ins. Acct. No.
t—r79
Rl S1DETh - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
i�/a4/9 f de,e,Prze
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. n
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'
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
0
DO NOT WRITE BELOW THIS LINE
Your street address will be -
Sewage Permit Number Issued
Remarks
0
n4
Building Permit
e zone is Ai( I2,IG(4)TUftl .- SC&
Receipt _Qis7 9_2_ssued
Forrr 523 eldd. Code