1978, 10-18 Permit App: N01070 GarageCou
of Spokane, Washir on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
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
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
Did
Name of Owner / lav 1 Address /, /7 r;• .c.
Architect . Address
Engineer Address
Contractor �v%%r', Address
Legal Des ription of Property (Give complete descripti. from deed, tax receipt, etc.) Parcel Number
�.0 Phone
Phone
Phone
DESCRIPTION OF •. e ✓ A d" ion �/ emooddel ryMoving Bld:. Zon Fire ne
Size of Lot — -��; /2 t'=k 1 n Z2 /Sewage System Cons . `'
(Fr., Conc.�r et.1 itis
Total Sq Ft Valuatio
Chimne Fireplace
}� ( (Number
Heat. System Type Ext. Finish �1 /_ SCE/Irnt. Wall Finish Ae2 -_-___
Stories____ Dimensions
,A
Rooms Bath- Basement
(Full, part, none)
aXi
Foundation Const. rr r
'� of Roofing
No. of Units Bedrooms 211
Use of Bldg. 41,7. 1
ROADWAY R/W WIDTH !
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.
m
-1
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No,
—RESIDENTIAL 9OMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
.,t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
i0//P�i 8/44-62-
I herebyOr?d
ertifinformation su..itted is correct and there are no other structures located on this property except
�( as�lyown. / f 1Ow 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 AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE fi 7 °"
Your street address will be
Sewage Permit Number
Remarks
Issued _
..r
Building Permit
e zone is
Receipt .44Is'ued
Form 523 Bldg. Code
Carl Kappen &
Associates, Inc.
N. 25 Mullan, Suite 304, Spokane, WA 99206
Phone (509) 922-1690 PLOT PLAN,
Requested Price
Lot Cost
ELEVATIONS:
Crown of Street'/C"• /
Finish' Floor
Scale: /<<---c20
.,s4:_s-/ Sq. Ft. ?DO
Job N 6 9neer
- —_
Li4 Case #
--page Co
�.e• o. Water Co.
QJ I (/2Ka.,
I EXcav r
"�� D 3 N
Legal V 5/ ail - tett__
Address: fi /!r, f 7
c9 holt' . / ha'HL a &-C'i),) 1., eci b` nl. -
7//o<: /e / eN+
eser