1977, 01-10 Permit App: L6683 Storage BldgAPPROVED As NOTED
Spokane Coynty Bldg. Code Dept.
PROVED As NOTE Spokane, Washin t Wate
�► o�unty of Sp e. g
fpokene County Bldg. Code Dept, h /�/yU �z c
BUILDING CO ES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WAS 19
APPLICArlON FOR LAND USE OR STRUCTURE PERMIT
�ArT A� M E N T S PERMIT FEE.----
PERMIT
EE. PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building-- r structure of aU;
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. Construction is subject to inspection.
NATER. 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, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
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 buildings (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 L!pl
Name of Owner Address - v Phone -?G ✓/
Architect Address Phone
Engineer Address Phone
Contractor ��? f i Address Phone
---
Ptn, of 23542-9046 - W' of NWk of SEk of NWk exc. rd.
-
DESCRIPTION OF WORK: New Addition Remodel Moving ` 131h. Zone _ Fire Zone
Size of Lot �/ 6)F9 V /rx' Sewage System�'�' � onsi
�// R,., Con / Br. `tc.)
Stories Dimensions 3 Total Sq. Ft. Z Valuation
Rooms Baths Basements F"undationConst.. - ,, Chimney/1o/iv Firli'ice iUln<-�
/ Full, part, none (Kind) 1 (Number 7
Heat. System -C / Type of Roofing / Ext. Finish �A� Int. Wall Finish ° 1,17
Use of Bldq. I -�=� `� No. of Units _ Bedr ms
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 streetz_�_(5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
ORTH RESIDENTIAL -COMMERCIAL Sate Licen �No.
'y"/7// ✓.i�
�,)C) Ind. Ins. Acct. No.
� Go_
REQUIRED
Plumbing Permit��%_ K
C
M Heating Permit
a
N H Sewage Permit
�1 —4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Ur SOUTH.
I hereby- rti- in orio bmi a is correct and there are no other structures located on this property except
as shown./ �::
Owner or_Agent ate
A LAND USE OR STRUCTUR PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO 110T WRITE BELOW THIS LINE
Your street address will beCO LG l a The zone is V kL~—
Sewage Permit Number issued Building Permit, ���;' Receipt 0Issued
Show on Site Pian:
Lot Dimensions
Existing Structures
Proposed Improvements
Structure Setbacks
Easements
Septic System (s)
Water Lines
Sewer Lines
Fences, Wells
Driveway(s)
Right of Way Width(s)
Names of
Fronting Street
Flanking Street
I
Additional Information:
Landscaping
Drainage Plan
Hydrants
Topography l
Lighting
Signage
Shorelines j
Highwater Mark
i I
Scale:
Date:
Revisions: Attachme
W
IP
In
(THIS IS NOTA PERMIT)
BUILDING
PERMIT �I� 'LI 1101'" WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
4.
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Project Number
Owner's Name /// LAST FIRST Mi
,r,„ /
Project Address(Street Nam &Number) Zip
�' -
Applicant Address
'
ZPhone
Ru-
Z77:
usiness Phone
( 1
Contractor!Agent
Address
City State Zip Phone
( I
Contact License Number(Required) Business Phone
( )
Architect/Engineer Address
City State Zip Phone
Contact Business Phone
(
Lender Address
City State Zip Phone
( )
4'1 � . may, �
A� 2�X 2'2 RComm.
'"�, t�, r -
r 'k '''^`* ` " v-{ t :..dt✓
x r `*� y Lot Block PlatNumber
Zone Comp.PlanCensus Tract
AO, `
4 ; t Buildings Lot Size(Sq.Ft.lAcre) Depth Frontage
RightSetbaokazSet R/WWidth
Z
- Type
DEPARTMENTAL REVIEW
Approved CpApproval Hold
Environmental Health Application# _4 ;frig)
W.1101 College
Room 200
Planning/Zoning ( I
❑ N.721 Jefferson
Engineers
❑ N.811 Jefferson
Utilities
❑ N.811 Jefferson
Plan Review/Fire Prevention
❑ N.811 Jefferson
Other(SEPA/Critical Material/etc.)
El
❑ Fast Track/Special Inspection Information
Project Representative Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application is true and correct.
Signatur: r/ —= Date �L�