1977, 01-27 Permit App: L6775 Residenceippipp---------
okane� Was&glen
Canty of Sp
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE
PERMIT REQUIRED.
land structure
rprscyucResolution
to erect a building structure or the
kind any building orstructurealeadyereted, ortohangealand use. Constructionust conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
theEsurface, sho. Water ulders be
County Roads, permissionandState ealth must bepobtained fromre theork Countyster Engineer'stOfficeisturbs
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SeastA25 FROM quraLINES.
5' side yard,zones
15' side yaunder
from aost cflankingnstreet,set-back
25' rearthe
yardfront
areprequiredline, of at
leastSTE H5' isrequired,clearance must be obtained pertaining to set -back and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway, �
and egress.
COUNTY formedOinSaccordancestreet
stakes.oPointsmof y ingressperformed
egress mustsbekapproved byytheaCountyrEngineer. work must g
Me
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or Stat
' Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
which lareVenforcle enforceable Buildersld
kCountysOfficialscovenants
not bringdedications
toand
enforcements covenantslng with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINE
p Zai
fr::)Z>') "..' - .✓ c'1/NS' � C."' Address fig, X /413/3 YM S5�%� Phone � 2 ' y
Name of Owner J Phone
Address
Architect Address Phone
Engineer Phone
Contractor 5.:1 -mi.___ Address ��_¢� ` O //
Legal Description of Property (Give complete description from deed tax receipt, etc.)
Lei- /1 AZ/ . / 6-tw rill. t ol-u t• 0f e -c/ t r' !J
DESCRIPTION OF WORK: New X Addition Remodel
Size2Dimension/X
Lot fe X '20 11
St ifr 32-/ f- y,3)(z1(22.\�
Foundation Const.
ng �.n" f' Ext. Finish M45.1m-'17L'-
/Z4S ihr/t/.) c7"9"2-e9e5~i
Moving
Bldg. Zone / Fire Zone 3
Sewage Systemf/77L oust. �/z ,n�
Const.
Conc., Br., etc.)
Total Sq. Ft - Z1-�-- Valuation 30, )'
Chimney bliiS "Fireplace -"---?.-
(Kind) (Number
Int. Wall Finish ('/2yst./-G
No. of Units —Bedrooms 3
Rooms T - Baths 2 Basement
Full, part, none)
Heat. System ' Type of Roofi
Use of Bldg. �i/A,6/2: 1-771-171/
Ctf"
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
CA
NORTH
PLOT PLAN
propelinesrty andlines; (2) streets; (5)reet or dimensions of buildings;d locatins; (3) (6)iocatin of location ofexisting
and
sewage sys-
RESIDENTIAL - COMMERCIAL
14 /7' Z S /
SOUTH
I hereby certify information sub fitted is correct
as shown.
and there are
State License No.
223 ._ "/ 6.2.5-3
Ind. Ins. Acct. No.
I/- et- — 9C-9-5,
REQUIRED
Plumbing Permit
Heating Permit 5720014 -1 --WC ?.1`.
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures locatgd on this property except
r_ner o
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7/77
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
/.J / G7 ; "16"i --G ` The zone is
Building Permit ceipt 5--j-34. IBsued
PR&
/ NJ
I. a-1 11 t31,K,
41J-Ii-1P-itE-
•\/11 &'A.
_ 415541-_0511
ffo.p.L.44.0.
1-1 41do cIAL. _.
24 65.101...1'
cip7Apa „ _Nu
..0)06.17Er...tc I
-511,1e1 1- --i: 1it44,41y i :4140plarili:-
1 • ' A
N ---- - -- I ,, N
•
1.0
Nil At LA, ,A., (-;
•
i•-•' • .
•
WOE -JOHNSTON CUSTOM CLDG.
P.O. BOX 14393 t
NVAT.-^TP.,!Cl'ON 9°.,214