1978, 09-20 Permit App: N0682 Residence 0' T
Cour '-y of Spokane, Washin- Lon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ' 77'
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.
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APPLICANT FILL IN BELOW THIS LINE /
Name of OwnerYAN PAR( s NT. L*�+h Address 7+�) D Atm 4 _ Phone Cla ki""Cl
Architect . _ Address - Phone
Engineer_ Q T Address Phone ('�v�
Contractor VA� ^y �-+ • ' Address Phone '7 d'� '` '1131L,
Legal Description of Property (Give complete description froomeed, taxxrreceipt, etc.) Parcel Number-/4', '9 2— Z 2?
Tj F ca" p s. do NTT $ 2o7 N IN �+ SFG 1 L} �T 'J
DESCRIPTION OF ORRK: New X Addition Remodel Moving B19. Zone � Fire Zone
jd
Size of Lot ---� Oc�(�>/ X Idb Sewage System tr}G Const.
(Fr., Conc., Br., etc.)
Stories_.. Dimensions . ___ ���_�yyTotal Sq. Ft/5_4X....
t. Valuation
Rooms Baths Basement u� L f Foundation Const. C Pe ot� _ Chimney_ Fireplace
(Full, part, none) y� y� (Kind) (Numb r
Heat. System _ Type of Roofing C O Ext. Finish � i/`i5O Int. Wall Finish
Use of Bldg. Afra6te ,c /CIio. ofU its Bedrooms Z--�
ROADWAY R/W WIDTH � ;tj-t:x cite 4
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 State License No.
›fr 2'7 teS
R1 Inc. Ins. Acct. No.
T���r�k RESIDENTIAL) COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
D
N N Sewage Permit
-� -.I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
r Plans Mailed
7/01a/Per ,074 °
S. TT
I hereby cert if o! itis' ed is correct /there are no other structures 1 cated on this proertexcept
as shown. ►^
x..41,1110°17 / 2 /7PY
'.ner or Agent r
g Date
A LAND US • ' STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
DONOT WRITE BELOW THIS LINE /,�
Your street address will be 77' 110.// The zone is £Z' .i �LCLI.i e( p
Sewage Permit Number Issued _ j Building Permit --0togleceipt 30...5�a Issued
R–'�
Remarks — _--- -- DM Nom- sl
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1,.. PLOT PLAN__j
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LEGAL: TR Ac-I- p s-Ho RT. pi.,47- 7g-o7 I VAN PARYS ENTERPRISES LTD .
926-9361 or 928-1816
/lOkj _C) --c / / 7-.25%11I f 4/E
I DATE : V.20/78
POWER: //Z-----.X4 /
1 SCALE : / /:-.:--...- 9
ADDRESS : /4.5 1
17/42:2 Ccz _ /I/ 1z15%112 — 77 z
FHA: 1.
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