1978, 09-14 Permit App: N0572 ResidenceCa of Spokane, Washi on
E ARTMENT, N. 811 JEFFERSON, SPOKANE,
WASHINGTON CODES D GTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o0
PERMIT FEE /0 L xX
GENERAL REQUIREMENTS
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner OW AVE mi t%5/ KE Address
Address
Engineer Address 8 345t
Contractor
Architect
c o u v0p A L.:NE. IQ 731 / I/
_36)2 N 6TH• Phone a if- 2u 0
Phone
Phone
b A11 I D I J L. I5 -f Address
9c,2.tJ G YH GU1.IER.'A4M2hone(.Ro ') 66 1
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
1—oT M 814, c k. /, VF RA G REST su'1-D?U (S)d*l
DESCRIPTION OF WORK: New A Addition Remodel Moving
Size of Lot /O/ X / /.°?1 J ISoe X 1 -mi Sewage System
Stories Dimensions ,31:31 )( 5b ii- 22.'1261+ JO' X 3oJ Total Sq
Rooms Baths__ Basement FiL1-- Foundation Const. coNc_FE: .
(Full, part, none)
Heat. System ELECT' riA Type of Roofing SJA LE- Ext. Finish -r-%i/
Use of Bldg. S /1>En1GE"'-- ESA DI=CJC A—rTALHEP
ROADWAY R/W WIDTH SQf
Bldg. Zone / Fire Zone 3
SerT/c Const.
(Fr., Co_nFc, 5t
0
. Ft.2377 Valuation 40.5
O
Chimney 1IV SIiHt»ireplace__Z )4IZY
(Kind) (Number
Int. Wall Finish DJRYWALL
No. of Units Bedrooms 3
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
SOUTH
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mail/d
T./ii/7 8 et4/if/A'e
I hereby certify information submitted is correct and there are no other structures located on this property
as shown.
x
except
Ep-r /y/q7Y
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
(\\W--'7/ j L f / J j DO NOT WRITE BELOW THIS LINE
ON
1
Tour street address will be S. _/// V `0 ; ' 05
Sewage Permit Number Issued Building Permit
Receipt
Remarks
e zone is NALE F4lk 4)t_,y CZE$
Issued
1