1978, 10-18 Permit App: N1165 ResidenceCout of Spokane. Washhton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 62, ifX
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
ZD S 3811{
Name of Owner_ W -R- r:YE_ )rF {N%
Architect
Engineer_
Contractor U1. R. D -GROFF /NG
Address _/j . • S • •6 _ a.: 'hone 647
Address
Address Phone
Address ///O N 471} ST 83814 Phone 667—QSC3/
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PT).1 OF O7SS& -/bra 0
L -n -r .3 si-ocK 2 r SIMPSof /ON—t toN/ Tm 62E/EN/ICRES
Phone
DESCRIPTION OF WORK New )( _ Addition Remodel
Size of Lot 130' X /45' X /22— 391 !RR
Stories/E Dimensions 2,8 X 10 -r 2 X9' t 211 X2 -71±S 1)Uo
Rooms] Baths a" Basement PULL„ Foundation Const cofJC. 2. 7t
(Full, part. none)
Moving Bldg. Zone / Fire Zone _..3
Sewage System 5FJPT1( Const.
(Fr., Conc.. Br., etc.)00
Total Sq. Ft. 178 5- Valuation S.5://100115(
Chimney 1 META'/—E i replace_LMCom')
(Kind) (Number
Int. Wall Finish DRvWn1_.1.—
Heat System FLEGT f=A. Type of Roofing GnM'PnSrt'1ON Ext. Finish Ord T 1/
Use of Bldg. Ag,,S4J2EtJ&Lea /ar mcHSD
ROADWAY R/W WIDTHS
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.
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Owner or Agent
.State License No.
OK- 0)\ KO-tr.
Ino. Ins. Acct. No.
R firSE�N� OMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other structures located on this property except
nc..-r: I ed e76'
Dat e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
tN MAT /tl/r/q DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Gare -7r sr * ,?o B— 66 7 943
Remarks
Mc KED. 'DAD )J 1(609 The zoneDis SlNSLr �AM71 i�
Issued Building Permit N-1145 ReceiptiUaIssued
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