1979, 04-10 Permit App: N2701 Residence Coune of Spokane. Washinc �n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 5�
GENERAL REQUIREMENTS PERMIT FEE MDQ
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 SPObJNr 9724 6
Name of Owner_,IJN\ J(I JfNSONJ Address _ [ 6 E. x'11 AVE - Phone 53 -
Architect .. Address - Phone
Engineer_ Address-_ Phone
Contractor PENGO (2-E- Ufvs-TRUC-CZON Address. 9.30 E. LjRFCM-_707 Phone 45-7-,;"6'.2.1Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel umberZ35 - 906017
Zai -25-`/-3 - E y� o F N iA>kci- dr NE .q or= S laj —
DESCRIPTION OF WORK: New X _ Addition Remodel Moving Bldg. Zone ...__ I Fire Zone-R
Size of Lot _ SAC RE✓s Sewage System SEP-1C, Const. FR,hN1F_J
(Fr., Conc., Br., etc.)
Stories' Dimensions (z) 30 I X 3?' Total Sq. Ft.2-Z80 Valuation' 35.OOO xY
Rooms i Baths 2" Basement FULL Foundation Const. CokICt2E1E - Chimney_ NA. Fireplace I
(Full, part, none) (Kind) (Number
Heat. System eLE CT r A Type of Roofing M 1°O S IT/OI.J Ext. Finish -F-1 I Int. Wall Finish O1=yLJA-ILL—
Use of Bldg. RES IDEN Cr_-- NO CcAl2--ACrI✓ ANY) Df-C.JC. No. of Units Bedrooms
ROADWAY R/W WIDTH ado) -_
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.
(J)0(
TI-f AVE Ino. Ins Acct. No.
le!P
RESID NL - COMMERCIAL
REQUIRED
-PRoPosEv Plumbing Permit
RESID N C� rn Heating Permit
w N Sewage Permit
-� -4
Plans Received
s AcKgs Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed L ��
SOUTH
"fp q
G�.�^• •.v�
I herebidgeify informs,"on submitted is correct and there are no other structures located on this property except
as shown
— — ed AFR)1_0 lo) 017?
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE.
NIA—P DO NOT WRITE BELOW THIS LINE
Your street address will be •
4:7
O/
�• y' 8 r 8 �e zone is AGIZ)La riA2AL
Sewage Permit Number Issued Building Permit Receipt 02.14:;) Issued
Remarks ASISL-.AGI . Wi✓SLPEN_ E buhi-(GH FtAS BEM Bi.iR L�UI� (M PFS -
G.,.,,. 5'71