1978, 10-23 Permit App: N1117 Residence7
Cou' I of Spokane, Washir ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE........f4..,...
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 x!` 2Z6
Name of Owner_ GA,_.__,K, C_ 0AIAL3>_9LA W Address E; Sp(Q /,?I]j .5jQpKkt4F_ Phone 53$_--5_5'70
Architect - Address__ Phone
Engineer_ c_ l-Fi PO Address Phone _
Contractor <�7AI' Ay Address Jio,,�r�Jtl 1j!: I qy2,oG Phone 5.3 5
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number- �I�F 335 2 -{%O/_ y0(.0
L.o r l7Bt��ck �,rFF�ST�r;. FI�L,D A�hnt-rlonl 9fl6-7 - 21I'f- -
-7
X Addition Remodel Movin Bldg. �- -
DESCRIPTION OF WORK: New__A___ 9 9- Zone Fire Zone -
Size of Lot d`7.3 ! 14Z grY� X �]0 afi r X 1 ?7 ,� f�.�ewage System S ?rte_ Const. rP-/IME.
.Z3 1 Xc ! ( J t 1 10' x 1,?-,
zz�6 (Fr., Conc., Br., etc.)
Storied �
Dimensions Bar�e�.�LL Foundatio?Uons �. ,�7.2 � Total Sq. Ft.� Valuation
S1Q ._ D 1( j
Room t. �NGR�-T� Chimney/ Ajy6�}E�-L�'�NL_�Fireplace i �l
(Full, p (( d (Number
Heat. System 1") r � Type of Roofing r oIMC ICT OW Ext. Finish Int. Wall Finish
C
Use of Bldg. �at✓51 ►? FI�i fl e; AR A CSV _ 4 0 F_ CYC /�TiA r N��__ No. of Units Bedrooms �
ROADWAY R/W WIDTH 5D 2� �� ara' FfN ISf4�Jn IN RAslE-MZdT.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
S f2 A -T -T -A O+V�V 7 J_D-FF
SOUTH
State License No.
OK ohL n L
Ina. Ins. Acet. No.
—77
REST ENTI` - COMMERCIAL
REQUIRED
Plumbing Permit �� ►.sf ON
I" Heating Permit 1 Al by N F 5; M I T4-
30
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb4 cer i inform t^�on su�1 ed is coryect and there are no other st cru es located on this property except
as shown. 1// /'
y
/Qori'ier or Agent Date
A LAND USE ORSTRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
6t,J 101 `V7e DO NOT WRITE BELOW THIS LINE
Your street address will be _ % J _2_ 39"' I AV E_ _,,e
e zone is S/N6Lr ILS 1@E:�Z,
i l
ner _ Issued _ Building Permit Re
Sewage Permit Numceipt71_.Issued
Remarks
Form 523 Bldg. Coda
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ce
40
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