1978, 09-26 Permit App: M0841 Residence Cour 'y of Spokane, Washin--*on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4
GENERAL REQUIREMENTS PERMIT FEE 70. ..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 SPoKe2,0)
Name of Owner / , 5H 8'(C)
,� a , v.V. :_5 ��) Address _ �4O I ���/iP � • .A,�Pjhone
Architect . - Address_ Z fTbne S31 —/e/f)
Engineer_ Address Phone _ �/
Contractor46/441.11; ---/—(7/47/1S-70/l/ Address i f d _ Phone 7 c 7/(G
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number. _
1-07— /7 &•,tC l ) 4L _ _ 4 /) _
DESCRIPTION OF WORK: New' ' _ Addition Remodel Moving BldZone J Fire Zone 3
Size of Lot ._ 1 A Sewage System_..� . t. - '1`t i
' `Fr., Conc., Br., etc.)
Stories Dimensions �`a "�a' - A - y`" ‘ � Total Sq. Ft./4 , Valuation • -e9 �a
Rooms Baths Basement " F•.ndation Const. �J't/l - Chimney /�5/ • Fireplaces
(Full, part, none) (Kind) (Number
3
Heat. System 4.61; Type of Roofing Ext. Finish /'lti +� £Tce- Int. Wall Finish 7 w�-cwt.,
Use of Bldg. t ,£ •11,"'",1.4.1 `—GAF—AG0' No. of Units Bedrooms I--
ROADWAY R/W WIDTH 5—p No PEAK
PLOT PLAN
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.
NORTH St-e ens-' o a
o A/5 6 A- 333c-
Ind.
33GInd. Ins. Acct. No.
d ) Com. -tt 4 "( /
R. f,- ENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
rK
in Heating Permit ,4"f14.&
no a
N H Sewage Permit
-I -4
+'1 ,'4 Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
-^) v_21 X/VA?e7
SOUTH
,/,'
I hereby certify informati •esubmi "ed is c. a d there are no other structures located o is property except
as shown.
.moo --?
Owner or A: Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
a tvi Mtsi° ell 44T? DO NOT WRITE BELOW THIS LINE
Your street address will be N. 610 v 111.GIN A COUNT ,:.t- The zone iq3 ._k INc LE1 F4M IL)
Sewage Permit Number _ Issued_ Building Permi Receipt 0.2.4if Issued
Remarks
Fonio 523 Bldg. Code
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