1978, 10-02 Permit Application: N0781 Renewal of M3361County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /C, � 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 must 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.
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 yLINE�� p/�92 06
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Name of Owner — %J/i Address .Y.?./ LI
% t Zt- �° Phone 9" ° 9 //
Architect , Address Phone
Engineer Address Phone
Address
Contractor
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Phone
/ 2,5–,' 3 0 /
7 ' _� -� ,� .�9' ,4/ / �a
4,D 7-'0 411r
KUAUWAY K!W 111IWh
DESCRIPTION OF-WORK: Ne /�- -W4 tion Remodel
i
Size of Lot /� �d Sewage System --[1� onst.
/ �j �Fr., Co' •., Br., etc.)
Total Sq. Ft '�`' o Value on •
Moving
Bldg. Zone / Fire Z. e L?
Stories / Dimensions
Rooms Baths
Heat. System
Use of Bldg.
Basement Foundation Const Chimney Fireplace
(Full, part, none) (Kind) (Number
Int. Wall Finish
Type of Roofing Ext. Finish
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and rater supply lines.
. of Units _Bedrooms
NORTH
33/
State License No.
Ind. Ins. Acct. No.
TI COMMERCIAL
REQUIR
Plumbing Permit
Heating Permit
a Sewage Permit
VI
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify iiformation bmitted is correct and there are no other structures located on this property except
(i
as shown.
Ow
or Agent
2-- t
Date/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE
/f BELOW THIS LINE
Tour street address will be c7 ,- / 7 de/A(_; The zone is –C._
Sewage Permit Number Issued Building Permit 4) o 7`S/ Receipt 6_� s :rued
Remarks
Form 523 Blda. Code