1978, 05-05 Permit App: M6543 Addition'Ca7
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 611 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE ---------------------
PERMIT
--- ------
idlTerliuse or structure ascyucResolution
erect
building
structure
th
e
knorr alter any bulding orstructurelreadyereted. ortohangealand use. constructionmust conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
iheEsurface. sh. Water oulderssorbditchesvof County Roads, permission and State ealth must bepobtained froomrtheork on Countyater Englneer'stofficeisturbs
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SETleast
isMrequireea LINES. In most
side zones
side and rdrmost from acflankingnces a street,sandbac25' rearthe
yardfront
areprequiredrty line. of at
lea
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
not be performed until staked by County Road Department and work mus
t be
COUNTY ROADS. Work on street right-of-way may
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
uilding is
MOVING OclearanceNmustAbeeobtainedrfromrtheto move an exis
County Engineerland/orlState HighwaybDepartment.
moved on a County or State
Highway,
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
ng with the land
RESTRICTIVE
are COVEReable.tBuilders
hrough should check
he kCountysOfficialsions of ocananot bringnts or dactionntosenfond rcemcovenaents ntsior dedications.
�� APPLICANT FILL IN BELOW THIS LINE
e Address O/ O 'Saw— a DW AJ Phone
Name of Owner _ �I n� j r>-c}�p Phone'
Address
Architect _j.� ' "r' » L
Address Phone
k, —
C3
Engineer L ? Phone
Contractor is + rT T•'' —Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
ROADWAY R/W WIDTH3
Addition �— Remodel �.— Moving Bldg. Zone _._-�— Fire Zone
DESCRIPTION OF WORK: New
Sewage System "� ` k- onst. F2
Size of Lot 1 �� X �� (-Fr., Conc., Br., etc.)
Total Sq. Ft. F'—C>--Valuatiortj oDb
Stories Dimensions
/� _
�Gi-GtCs Chimney —iC- Fireplace 1
Rooms Baths Basement Foundation Const. (Kind) (Number
Fu 1, part, none
Heat. System V�' �i95F Type of Roofing t,_;o Sc— 11n, a) Ext. Finish t^ "� Int. Wall Finish W _Q
�'
Use of Bldg. 442" 12-& S i if 'H.- No. of Units Bedrooms
PLOT PLAN
-40 Draw sketch gs;with(i)mdistancesto property linesrty andlstreets; (5)reet or dimensions of buildings;((6)1 ocationoofesewagegand
sys-
proposed buildings;
tem and water supply lines. State License No.
NORTH
c (_) 4
C.I C
mew
i
Iltl'
SOUTH
I hereby certi y informations tted
as shown. z— f Y..�,, , n., n .j .
z Owner or Agent \,v�l
A LAND USE OR STRUCTURE PERMIT MUST BE
THIS IS NOT A PERMIT.
DO NOT„
Your street address will be
Sewage Permit Number Issued _
Remarks
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nd the are no other structures located on thi property except
r �
D e
THE PREMISES BEFORE'Z6NSTRUCTION COMMENCES.
WRITE BELOW-TWIS LINE
The zone ia-ID "`"4
Building Permit1dL64Receipt,2 3 Q7 Issued