1978, 10-19 Permit App: N1094 replaces M0714 Duplexr7,- - 9 ' . 4
Cou of Spokane, Washinfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
1 °�y .r
GENERAL REQUIREMENTS
PERMIT FEE ...... 11-_1_. -"!_'_----
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 SPoKA1k1G 9g20h
Name of Owner KDQE1ZZr R_ L014e-E Address __F_.,1_-570it- Phone -
Architect . Address___ Phone
Engineer_ Address _ Phone
Contractor 12081 A - Address. Phone CizZ- t o
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number_ D.S�i-9D27 pTNO�
F3 5 fl; awoor� AP 2Ms ,/ --- — °d
y
DESCRIPTION OF WORK: New ?� _ Addition. Remodel Moving Bldg. Zone ..� Fire Zone .�
Size of Lot - 90 i X 1-97 5_77 t --- Sewage System 1 L Const. EtAMIr �'{ 4
(Fr., Conc., Br., etc.) oo V
I So` x 81 dVMA�LI,- Total Sq. Ft. 2-5-1 Valuation :Z2—; P AJC
Stories Dimensions-
Rooms Baths 2' Basement NONE- Foundation Const. Chimney_2_b& MIR replace-2-MAS0141C
(Full, part, none) (Kind) (Number
Heat. System ZCM-00 Type of Roofing 56A fK 5 Ext. Finish 'r 1114- LAAf' Int. Wall Finish 111��btl�L(�
Use of Bldg. D(A fLV=X -- 6, EA-G,t-�_ A -TT iGI+E:ih U0 DiE_Q= _ __ _ No. of Units Bedrooms
ROADWAY RZW W-LDX I �10) 15:1 r
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.
IN
N
�1
NORTH
5,F /3_T_rRC0EP -PL0_r 17
SOU TH
State License No.
O K_ ON 1- ) L
Ind. Ins. Acct. No.
12—zo-7?
ESIDENT COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
4
D
H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here ce if 3y infoMp tions fitted is correct and there are no other structures located on this property except
as shown. � r -f/
I Owner or Beni Date
A LAND USE OR STRUCTURE PERK4 MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
b N MA DO NOT WRITE BELOW THIS LINE
Your street address will be S 14 Z2- 14 �Z R013 Jt4 1400D The zone is-rUM T%K1 VF44c
Sewage Permit Number _IssuedBuilding Per ReceiptVr Issued
Remarks _-- — -- j I T