1978, 10-03 Permit App: N0959 ResidenceCout of Spokane, Washirson
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPROVED;M N FOR LAND USE OR STRUCTURE PERMIT
S00kene COun PERMIT FEE ----------------------------
��sEN�ER�61d�'AOO p� E N T S
land sr ctu permit is required by County Resolution to erect a building or structure of any kind or alter any building
ti PE +.A r and use. Construction must conform with the Spokane County Building Code and Zoning Ordinance. Con-
°mss`-'•3� s ?
WATER. Water suppler y muu the County and State Health Departments. Where work on water connections disturbs the surface, shoulders
or ditches of County Roads, pe n 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 performea 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 6. Address 0 i3 ox 1557 Phone q-,-�
Architect . -
Address_ Phone _
Engineer_
Address -_ Phone _
Contractor K • Cz NDMIlS ( RDVAL GALLIC &Y) Address. P P 50Y 153' 420/41 Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number-
O
�-.
DESCRIPTION OF WORK: New_Addition Remodel Moving Bldg. Zone ._L— Fire Zone
2 3� Z61 Z 41 8`n S 7 /3' X V74. 48, I �R. Sewage System �1C onst. _�J31!
Size of Lotlot FFr., Conc., r., etc.)
Stories?/L' Dimensions -2- XV1 + 'Y z f -k 7�X Z* +9 0`f' Total Sq. Ft.190* Valuation�LQfQl114
Rooms -5 Baths 9_ BasementF LS Foundation Const. �"'J� QE � Chimneyl AL -Fireplace / 7���' "N(Full, part, nonce (Kind) ( uN tuber
Heat. System F-) �'; -A. Type of Roofing jf�l�E� Ext. Finish T 111 t BPI<V- Int. Wall Finish 12KIIWA -L
Use of Bldg. 1;j= -SI DE"CF 6A. A,6,P- 4- D"KS A:Mn§Cd No. of Units Bedrooms -3 --
Rn a r)
edrooms-3--Rnan Wav R/W W1DTj= _. Co f/, - -
IV� 1 1 IF.RM VT N 0, M
21-7 PLOT PLAN
Draw sketch with amen i 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
SE�iE. #,-T-rAcNF-D Pte' PIAN.
State License No.
�o-YA
Ino. Ins. Acct. No.
8-15--717
RESIDENTIA COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/°/Sj 7 S ,�iZa-le
SOUTH
I herel�gertll 1 ormation submitted is correct and there are no other structures located on this property except
as shown. d// ,1 �Y
Owner r Agent Date r
A LAND USE OR STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
�ry DO NOT WRITE BELOW THIS LINE
r
Your street address will be—,S. SHAkT.Oc.K -e zone is Ic,ULiU1Z_�1 -sUR
Sewage Permi _ Issued _ Building Permit Receipt IJ; issued
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