1978, 09-25 Permit App: N0757 ResidenceCoun of Spokane. Washin
n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7'
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 -hack and ingress and egress.
COUNTY ROADS. Work on street right-of-way may not be performea 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 92i�
Address I / 37 d / .S f%f2Yi y f -
Address_
Address
Address
Name of OwnerCok 5 1 . Co
Architect .
Engineer
Contractor %}K �-
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
40 7- 8Lci
Parcel
Phone 9-39'.L
Phone
Phone
Phone
Number �-1f/- 9/1/4.. ?ore T/ Dak
DESCRIPTION OF WORK: New 2( Addition Remodel
W-0.1
Size of Lot N- 33 S`/a? e% j7v
Stories Dimensions 6X3 6
Rooms— _ Baths Basement Al [_ Foundation Const.
(Full, part, none)
Heat. System FL Flo Type of Roofing e- 001 t
Use of Bldg. . ' S 1 1_13C?- C ' Q C,
Moving
Sewage System
ROADWAY R/W WIDTH ., D
Total Sq
C 6 i C E TL
Ext.
Bldg. Zone / Fire Zone
tonst.
Fr., Con�py,. Br., etc.)
. Ft /4, r�`&t O
Chimney I{�V - Fireplace_
(Kind) Valuatior5'S!` (Number
Int. WaII Finish 1`Th o C/<
No. of Units / Bedrooms 2 -
Finish c -llibu0ao0
� 1 A�.�
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
I here.y certif
as shown.
SOUTH
fitted is correct
State License No.
-//N-gB c„1 -:1 -7th
Ind. Ins. Acct. No.
OK DNF/LO
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Owner or Agent
Dat
A LAND U �• R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
I� ?jje DO NOT WRITE BELOW THIS LINE
7ff
Your street address will be
js Sewage Permit Number
1
Remarks
,E 438 os- .sem
Issued
Building Permit
_ She zone is, ,(,qI4 4t44'C.- Af o�Q�'
Receipt 8//,? Is's❑ed
Foran 523 BIdn. Cnde
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J.B. BYERS
E, 13701 Sprague
Spokane Washington 99216
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ADDRESS offirri /3,-6/00
JOB # /34.
LOT SIZEirr)y
PARCEL # R2s4V-91114
LEGAL DESCRIPTION 4-y a/
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