1977, 08-17 Permit App: M2863 ResidenceAPPROVE AS of of Spokane, Washington
Spokane WI pfrOT ENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
Date R LAND USE OR STRUCTURE PERMIT
G Ib -ri-N3 PERMIT FEE ---------------------------
FERMI -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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
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.
least 25'FisMreeqquiirreed, al5' side yard,Z151 side circumstances a
rearthe
yardfront
arepropertrequireline, of at
d
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress. be
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must
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 buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land S
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE1412/-
Name of Owner j Address(
Architect Address
Engineer Address
Contractor % Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Phone 9,1.-) 2 7 ST
Phone
Phone
LP one 9
Parcel Number
— j
DESCRIPTION OF WORK: New _ X-- Addition Remodel Moving Bldg.Zone,�Fir
zone
Size of Lot Sewage System consts
` (Fr., Conc., Br., etc.) Qc
Stories _Dimensions
X �, .19 ,L ..� �' Total Sq. Ft./ Valuation Z dCJ
' Chimne �' Fi eplace
Rooms s� Baths Basement Foundation Const.. y (Kind) W (Num er
Fu I, part, none
Heat. System �' Type of fing �� n- r' I� Ext. Finish 7 - �� Int. Wall Finish
& No. of Units Bedrooms---
-Use of Bldg. 1' /t✓� '�r L �T"_`' Lid.'" l rii
PLOT PLAN
Draw sketch with diensions (4)mdistanceshowing: (1) property to property lines acdlstreets; (5)reet or road loctions; dimensions of buildings;((6)1ocation of location ofexisting
and
proposed buildings;gs;
sewage sys-
tem and water supply lines.
State License No.
Ind. Ins. Acct. No.
`RESIDENTIAU- COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
30
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
- I hereby crt(iify information submitted is correct and there are no other structures located on this property except
as showny t� -K� hNcly Q C /J // 7 A)
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Numb sued Building
� r
Remarks .,,.
i
IT
IThe zone C�
7 Receipt Issued
CAR /Oss
4
t4 ick
O
AD
F. 10
.j-