1979, 04-06 Permit App: N2577 ResidenceCouno of Spokane, Washin n
�II_Dlft- CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
010
GENERAL REQUIREMENTS PERMIT FEE..!/O_�_..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. 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 performea 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.
�1 APPLICANT FILL IN BELOW THIS LINE 5p0 y�K cc 2f�j p
Name of Owner <'�fi'I RL.FS FT. GALLES _ Address S, 3Cj I S MLS " O�<) _ Phone 92- -jQ
Architect . Address___ Phone
Engineer_ Address -___ 99 2L �_ Phone _
Con tractor<_-_ff/Lr_L GgLLJES Address, 5. .30115- MOIZKnW Phone 1?z6—/bi4G�
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Numberrj!VejE�_.33_9+Z- g01g-
Qa ' IS', AL-Dck z, Aoymo6j 4W 10066— 51067
DESCRIPTION OF WORK: New_ Addition Remodel Moving Bldg. Zone ..._ Fire Zone.
Size of Lot _ %2, 9S / 57` X 164,0&'X L57, 62- Sewage System S•>EPM Gonst.
r FFr., Conc., Br., etc.)
Stories Dimensions 30 'X X0'4 Za'x , - Total Sq. Ft..Z-32,6 Valuation's xr
Rooms 4 Baths_ Basement FIALL Foundation Const. <« R?E`TC Chimney Fireplace_ —
(Full, part, none) (Kind) (Number
Heat. System FJ Ec-T Fd Type of Roofing CDM POSl7717hI Ext. Finish kJ2 d..8&GK. Int. Wall Finish DLXj,,t1AL.1_
Use of Bldg. 12ESIl7F Cy ,A;F A"1"Ly�C{�F.() --140 f>"V_- No. of Units Bedrooms 3
ROADWAY R/W WIDTH SD —
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
,5-5r- A-T-rA c hw PL.o-r PIAN
SOU TH
State License No.
Ind. Ins. Acct. No.
RESIDENTI L2 - COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her by certify information submy� tA ed i correct and there are no other structures located on this property except
0
as shown. ) ZI I .!t //
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
QN Mq00 NOT WRITE BELOW THIS LINE n
-�S
Your street address will be—�. � The zone is / ISLE F .fie rT49F_S-
Sewage Permit Number Issued _ Building Permit Receipt �i1 Issued
Remarks
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