1978, 10-23 Permit App: N1127 Residence5z
Cour`y of Spokane, Washin&tion
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 9Q-0
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
Name of Owner,_ - I ! Lr o n ors , Address
ALL -IA f �. r Phone q oZ (j -� i0
Architect . --r Address r-.. q A a (l G, Phone
Engineer_ lxd Address Phone
Contractor
an -o-. oke Q o Address e Add .Cctnv Phone sot.v,.� ._
t
Legal Description of Property (Give complete
ddescri)tion from deed, tax receipt, etc.) Parcel Number I q SS l - 0 -TDi-1
C-cD4, I� \^ -ap�I lo-evA,14 21-± Q1Qr0aitr_ 74,n t�neo„��,f'4J)X
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. ZoneFire Zone 3
Size of Lot ` IDS / x `� 4` S0Sewage System I'1 r`1- 4 Const. �te^'t-4
f c� '' .� -, f Fr., Con Br„ etc.)
Storied Dimensions-A.m.nc �p- '•�3'x �i 3 -4- &S X acn+9x tal Sq. Ft.� . Valuatiorr rf- I.O� fl
Rooms Baths 1 J -.Z Basement 1 tSR Foundation Const C.t9-vt.f A9te Chimney ) L -t Fireplaces�l-_
(Full, part, none) (Kind) ( umber
Heat. System IIPw . Type of Roofing (.43't\-. Ext. Finish (YN(k.0-A't•A*o Int. Wall Finish CIQ A I,({� A9 r1 2 2
Use of Bldg. + . . .. .... 1 •f .. .a �_�.. .1 No. of Units .Bedroom8
ROA WAY R/W WI 11TH ..',Q f ,
PLOT PLAN
raw 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
.SLSi-
0),Aktor.cALLOP
SOUTH
State' License No.
Mg_ 0—K--
Ind.
-ti
Ind. Ins. Accu). No,
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rrr Heating Permit (7 Q.QJ_,..rQ AN. b
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify'nformation submit ed is correct and there are no other structures located on this property except,
as) shown:
.c./t.ee . 4t -_�/ „
Owner or Agent Date
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A P PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
61\1 !AO f DO N&T SSI ITE BELOW THIS LINE
Your, street address 3111 be.;29‘,91iXO Q, -E
Sewage Permit Number Is ued Building Permit
Remarks
G�
e zone is ,l.t.i, ttNlltt4a iZ .- .0.41„
//-.2-7 Receipt ¶4AtIssudd
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ADP/r7ov r .3 4,2'71,-.0twr
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