1978, 02-08 Permit App M4952 Recreation, Service BldgI hereby Bert y infor tion submitted is correct/and there are no other structures located on this property except
as shown. l` /_-;-Gt; O f �9 79
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
&Ai. ?n a DO NOT WRITE BELOW THIS LINE pp
,Cii-e The zone is 1/4.[! L£i- .4'110-' >
ding Permit /14-9,52. Receipt 41 DJr.a Issued
•
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,q6.�
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 mast conform with the ,
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
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.
leastSET-BACK k
25'FissMrequired, LINES. In most
side zones and
side yadrdrfrrost om acflankingnstreet,sandbac25'from arhyardoareprequiredrty line, of at
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must and egress.
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.
MANS r I ef PPLICANT FILL IN BELOW THIS LINE ? S 2 06
_J) /A/ C:-/2.l 2-/ MQom!SF/C'L-P Phone 91-6 Q`i
Name of Owner �- m �� Address
Address Phone
Architect(' �q �d Phone y G` -,-,!:,3 T Engineer f -/Y , ,' 0(- f -i. i. AddressE- / 21 2� Cd4d♦ Address g' / 2 / : f �A�. Phone 9 2 /�:- /
Contractor Lrt,cK7 A� J [, g S �-i U
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
iri- ^ s— ,
PORT- c 7"/?AL'r ,-1 3 w JG y- /77 G iN iV,E.! 5. C St4//7 5i l
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County of Spokane, Washington
BUILDING CODES DEPARTMENT N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
DESCRIPTION OF WORK: New Addition
Size of Lot 40 9` X q• 37' APPQo x
e i ! /
Stories 2- Dimensions ,7 -: x'i1--*9 i-li ., °�4,
Rooms L..___ Baths / Basem- -�
Foundation Const L'` 0",, C. /.2, ?
(Fu(I, part,,,..��.�..��P
c5 5 WV./ Type o Roofing SNA Ext. Finis S/JAk
r
Heat. System
Use of Blrdgg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
tr
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-
Bldg. Zone ILL Fire Zone 3
Remodel Moving _� 4
Sewage System S�� « onst.
Sq. Ft
�Fr., Conc.. Br., etc.) 0 O
6.1 6, Valuation :Lz /�d D
nney A� A Fireplace N!
Kind) (Number
Int. Wall Finish 4QY INAL'L
r No.�f Units �Be oom
SOUTH
State License No.
223-�i sn IT
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
2.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
k
Your street address will be ( / / / " ' 4,
Sewage PermiLNumber Is=ued
PZor- Fro/7
.PECR6AT/dN SE,eIf/CE BL06'.
Mr1ti,S)r/EL4e) 500AkE vELoyMENr
Es 2/9/7B