1978, 10-23 Permit App: N1126 ResidenceCour'' y of Spokane, Washir ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4�}}
PERMIT FEE 4R_s7o...M.
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. 45133 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 Wt� BELOW THIS LINE Act Address ' . A`I I h I R O ,ene\LO W0. .Phone C c h - 7 a (O
Addressr •.: 4 44k qq) a O(p l Phone
C� ,t Address - Phone
74".o - �--�-gyp 4\n.4Qa.t�- Address go._w o-. Phone ¶RcXnA�a
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number ( Q S 1- Ci` ca -
Name of Owner / I I A h Q l21 e n Q o y/
Architect . l 11
Engineer
Contractor
i3
Lee IA. £- a 'n* a) 621 Atm , I'kA- (XAP'Q t G n oa,,A.n. r, &9 1,
DESCRIPTION OF WORK: New Addition
Size of Lot „Lux.
. I h' 2, lac
Stories I »' Dimensions
RooZ Baths B- .ent
(Full,'.( non
Type of Roofing-�---
o w:krQ o "A,e O 3 ri et.ti(�fj rf 1 i1 nt c I.. o A
Remodel
Moving BIdd9Zone Fire Zone .3
Sewage System c 7 -[` onst. /w�.0
Fr., Cons., Br., etc.)
Valuatio5'!, (1"OO
• Fireplace �l� .
ff (Number
Ext. Finish n.M.,hArreNALto Int. Wall Finish ,(a.urX A. -Q.
No. of Units( BedroomsV .1
&•AGCi M -F oZ a(-, )Cain. (O Total Sq. Ft. 141-
• ry ennrr e±o Chimney
Foundation Const
Hea . System
Use f Bldg.
ROADWAY R/W W TH
5n'
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-
temynd water supply lines.
NORTH
SOUTH
' State License No.
Ind. Ins. Abet. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit €rvr -o-07A-)
rn Heating Permit .ot
sn • Sewage Permit
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I hereby certify information;submitted is correct and there are no other
Owner or Agent
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
IC�-a3-7?
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERPERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
(\A KU ! jY DO NOT WRITE BELOW THIS LINE
L to as Ilk ►,
Your street address will be -II
Sewage Permit Number
Remarks
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e zone is SiA
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Building Permit AJ -1171f Receipt WEAR Issiled
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