1978, 08-30 Permit App: N0318 Residence ., ,- w
Cour 'y of Spokane, Washirr Ion
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 BUILDINGS.A permit is required to move an existing building. When a building is moved on a County or State Highway, clearance must
�a
bpotained 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 BEL w THIS LINE A gig
1
Name of Owner I./t - 24..) ` /mit%i 'ddress 76 01 C) / 4 ,`,> Phone /j? - ,c 3 6
Architect .. /I I _ Address - Phone __
Engineer_ rr Address Phone
Contractor Address Phone '-.4 a.--71•4---(e._
Legal Descripti/of Property (Give complete scriptiioon.�from deed x receipt, etc.) Parcel Number_
/ /
—
DESCRIPTION OF WORK: New Addition Remodel Moving BI . Zone / Fire one' 3
Size of Lot ..{A/t. ` t,.A ' 00 7 X 9, c� I _J. .5 d Sewage Syste��j Const.
O Fr., iCc., r., c.)
Stories Dimensions __S__,72______24 / O g ` Total Sq. Ft.,-;glia7 Valuatio cj<et�, d�
Rooms Baths Basement SLP Foundation Const. himney l , Fireplace� et
(Full,npart, no (Kind)(Kd) (Nu b a
Heat. System r-fT Type of Roofing ��' ' Ext. Finish -- f Int. Wall Finish n ct�j.......Use of Bldg. //,1_,,,L,„..,,,, " ./..."-e-4- '_., _ - No. of Units Bedro s
4
ROADWAY R/W WIDTH 6'® 1
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
. oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and ter supply lines.
a 3 q NORTH Stat Li ense No.
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I In'. s. Acct. No.
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/ RESIDENTIAL - COMMERCIAL
REQUIRED
t Ipi,/ ifi Plumbing Permit.4�'_ -e-t-ti
in Heating Permit
rn
u+ N Sewage Permit
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Plans Received
1_
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located o this property except
a show /F7 eg �7 f
s
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AN i NON-TRANSFERABLE
, .
3-,- .: ' 2) DO NOT WRITE BEL•W THIS LINE a
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Your street address will be < Cli 7 �� , J �-d _fie zone is I
Sewage Permit Number _ Issued ,_ Building Permit Receipt.447_Issued
Remarks }
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Form. 523 Bldg. Code
MYRL W. CHAPMAN
-i ' S. 7620 LINKE ROAD
GREENACRES, WASH. 99016
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