1979, 06-11 Permit App: N3626 ResidenceCoun' of Spokane, Washinr ' In
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $86.00
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
Name of Owner Frisby Construction
Architect
Engineer
Contractor same
Address N. 4916 Sipple Rd. Phone 928 4683
Address Phone
Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 2, Block 1, Baldwin Acres
Parcel Number Ptn of 07553 -1237
DESCRIPTION 10WOR :41 New X Addition Remodel
Size of Lot
Stories Dimensions 24 x 56 + 24 x 22 ( garage)
Rooms 6 Baths_ 2 Basement full Foundation Const. concrete
(Full, part, none)
Heat. System elec furn Type of Roofing COmpositior1 Ext. Finish
Use of Bldg. residence — C�A�A6;� P-rrACl4w7 �s kS
ROADWAY R/W WIDTH ' SD
Moving Bldg. Zone / Fire Zone 3
Sewage System septic nst frame
(Fr.Co, Conc., Br., etc.)
Total Sq. Ft. 1872 valuation 64,000.00
Chimney -- Fireplace 1
(Kind) (Number
masonite Int. Wall Finish drywall
No. of Units Bedrooms 3
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.
m
-4
NORTH
SEE ATTACHED PLOT PLAN
I hereby certi
as shown.
SOUTH
information submitted
m
VS
is correct and there are no other
Owner or Agent can ' ,' _ ri sby Date
A LAND USE • R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON- REFUNDABLE AND NON- TRANSFERABLE
State License No.
FR-I S-BC-*231 BE
Ind. Ins. Acct. No.
e=i4N c €L- c +Eck
RESIDENT - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Q//z7i7 � 6- 11-
structures located on this property except
6 -11 -79
aN MM)
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
a. 17 9-16_
‘,
___The zone is
Receipt 1 Issued
Building Permit
Form 523 Bldg. Code _
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