1978, 10-06 Permit App N0919 Demo ResidenceCour y of Spokane, Washir Yon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 7�
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.
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 SpDorI,iF
Name of Owner,DA /ij7 .ZONES Address „g- 36?_22. SPf-PtE 4l` Phone 1'28.-1,1O0
Architect Address Phone
Engineer Address Phone
Contractor MARK —RAM DI-M.OLI-r i LINS Address )( / 1 55-1 197.1 Phone i2,2- 27513
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number /� 54 1—d7/Z
PT of B LOCK 3E , )r ,300 I O N. S`f io- / E3 C 44o1, ` N1 OF. Si - 711 S 1s'9 ° 2 j , 1
Tc� W r- T r- N 199, g f --rt.' Ni P9 °- LTQ ` F. (5-3 . ' i C 1_ N a H S /` j. 3 To Pa (3
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot S4{a K30o
I
Stories / Dimensions ,30 -t
Rooms_Z Baths1 Basement Foundation Const
(Full, part, none)
Heat. System Tzsis4tl.AihS-1 Type of Roofing f' Ext. Finish SLUM
Use of Bldg. .47 MQ L7T i'hl or -
ROADWAY R/W WIDTH 60
s
Moving Bldg. Zone 1 Fire Zone 3
Sewage System Const. cl,A v
VEI
II (Fr., Conc., Br., etc.)
1 Total Sq. Ft. zoo valuation -5'0 2cy
Got�IC.R -I'I - Chimney IM " J ireplace is�L�y
( ind) ( umber
Int. Wall Finish t .k) L-L-
No. of Units Bedrooms
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
toCtTEAo o 13fq N.I plr s
RDA1E)
I h- -by
as shown'
Owner or Agent
A LAND USE 0 STRUCTURE PERMIT MUS BE 0
THIS IS NOT A P MIT. PERMITS ARE NON-R } U
submitted is correc
State License No.
OYC3 /Lt,
Ind. Ins. Acct. No.
7-
DENTIA - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nd there are no other structures located on this property except
T
Date
THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will be Sewage Permit Number Issued Building Permit`'0 9/ 9 Receipt g /�1
/ % issued
Remarks %
The zone is AkS-I c ilt L� A t_AL—S(4.13
Form 523 Bldg. Code