1978, 10-03 Permit App: N0958 ResidenceCouiv
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
of Spokane, Washirlon
GENERAL REQUIREMENTS PERMIT FEE----------------------------
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 BTJILDINGS. 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 Vol( -
Name of Owner R C I4nM� S i KoVAL GALL Ay Address --R. 8. Boy f*. S Phone _928- %ii(cl
Architect . Address_ Phone _
Engineer_ Address Phone
Contractor R. 61 1JbMIE:S rRp, 6ALAddress. PO ROOX_(S QQD�6 Phone q2
Legal Description of Property (Give complete descripti n from deed, tax receipt, etc.) Parcel Number_ZYl�'q4" z 47-11
DESCRIPTION OF WORK: New-__ Addition Remodel Moving Bldg. Zone ._L— Fire Zone._
Size of Lot _� t X '`17Y.28� + 116• 1 � -' 7 � Sewage System �,�E onst. #=RSM
�jj y � ' j '� ,�,&, (Fr., Conc., Br., etc.) 0
Stories 1t Dimensions '� �' x "�'d T x- l �j ? Total Sq. Ft. luation
Rooms ``/ Baths _ Basement Foundation Const. Chimney �ireplace�/
(Full, part, none) (Kind) (N ber„�
Heat. System Type of oofing t. Finish Int. Wall Finish
Use of Bldg. — No. of Units Bedrooms
s
ROADWAY R/W WIDTH—L/) -
�; V, A -�, P NSK,�, PLO N
c 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; jk6) locat o,a of sewage
tem and water supply lines.
NORTH State License Ao.
SOUTH
Ind. Ins. Acct. No.
8—IS-77
SIDENTIA - COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
1611
H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed C
/4/s-17 4
3 I hereby c fy i o tion submitted is correct and there are no other structures located on this property except
as shown./ ��
..A11111"' A >.L� .• ^.--r -A /4'71
ner or A t Date
A LAND USE OR SMCT4fRE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
mw DO NOT WRITE BELOW THIS LINE
Your street address will be a zone is AI0W-ICUGX1kRA L--.SV4,
Sewage Permit Number Issued _ Building Permit UA Receipt 97 a Issued
0,
NS
I0
/0