1979, 04-03 Permit App: M2512 Residence Com ' of Spokane. Washin( on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
00
GENERAL REQUIREMENTS PERMIT FEE 5�--4C.
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 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. ,G a
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.
))�� ''hh ,/� APPLICANT.cFILL IN BELOW THIS LINE p�7
Name of Owner �1►tU f Y.r / N OE tSO� Address I QS�0.) I y ! /aOG- Phone w q Wag
Architect AddressPhone
Engineer_ Address Phone
Contractor .5 A m E Address `JA I1 E Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 0.06-911 - -3 .. N of
46--rs 51 S/ /3c.oc:k 32. 1 uN)IuEe.srry PLAcaE- - -
DESCRIPTION OF WORK: New X Addition _ Remodel Moving Bldg. Zone / Fire Zone
Size of Lot _/00' k -5411—_-A-_Pe Sewage System 5Er-r/C Const. _ L��—
/ (Fr., Conc., Brr..,, etc.)
Storie�iL Dimensions 24 i X 4-2'4- 4L 'X) '-F /0 ')G 1z.' Total Sq. Ft. /mfgs 2715;606- ValuationS�oDO
Rooms Baths / Basement Fkl-'&. Foundation Const._4QN -QE'TE Chimney)L Fireplacel.TOV.
(Full, part, none) �,���/ (Ki ) (Number
Heat. System EL...EC-I'I30 Type of Roofing COMPOS IO/J Ext. Finish "T'--113 , gra,Int. Wall Finish _____
Use of Bldg. IQ.1=sJD�CE. - GARAGE, A-r-T71 I P - AID DE= LL_ No. of Units Bedrooms .Z
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.
NORTH State License No.
011 P/L/
1 Li--Ir^HAve_ Ina. Ins. Acct. No.
/o,,p,L 11-7-77
,,,
SIDE COMMERCIAL
REQUIRED
MP' ttai 4 Plumbing Permit
�` s m Heating Permit
en �r�
to o "'�I N Sewage Permit
—i ID PROPOSED -1
RESIDENCE
Plans Received
N. Plans Checked
00 Plans Returned
/ Plans Picked Up
Plans
�Mailed
' /60 /GP/G_ // /7 / `
SOUTH
I hereby certify informat'on s tte. 's correct and there are no other structures located on this property except
as showT/74:11/
ner 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 yI 2---
/ ---
Your
iYour street address will be E. 10 rj 1(') 14714 Alm- _The zone is Mg/CPU:P l RA .-."5i1
Sewage Permit Number Issued_ Building Permit Receipt _0_0_7. Issued
Remarks _ _
/ et2 (/ frjit tea 3.3 W
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-- - i 3 27.