1979, 03-30 Permit App: N2431 Family RoomCourt " ' of Spokane, Washin( on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .
GENERAL REQUIREMENTS PERMIT FEE 37iC - ..... -..
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
through civil action. County Officials can not bring action to enforce
APPLICANT
Name of Owner r =, E S--ON
Architect
Engineer
Contractor L. E- STl3NE.
covenants or dedications and easements running with the land which are enforceable
covenants or dedications.
FILL IN BELOW THIS LINE .SPDKANE c c12 06
Address S. 17/ BALi'OUI: E3L Vt Phone 77 5 46-5-7
Address Phone
Address e7cf 20(a Phone
Address S, / 7 )5 SAL-F0I e BLVD Phone (128- 14657
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 2 7 %L i — 02.07
� a—r
7, 8Li 1-( .13/ C...H 5 eg. Fit LL S AOD t-r10 /4
DESCRIPTION OF WORK: New Addition X Remodel
Size of Lot JJl 1)( Z/ )C l se' 112' X I5'o'
Stories / Dimensions 14' )( '4- 71
Rooms—. Baths_.AL/� Basement NaKIF., Foundation Const.
646 EKull, part, none)
Heat. System pzy i5Tllir7 Type of Roofing GaL]MpOS /T/o* Ext. Finish MAS0N1TV_
Use of Bldg.
Moving Bldg. Zone l Fire Zone
SewagekS�k e- _ <EPT1 G Const. L�l36M E. .
(Fr.. Conc., Br., etc.)
Total Sq. Ft.3 Pia Valuation' 700 Q _
Cl2 Te, Chimney Fireplaces
(KS rid► (Number
Int. Wall Finish 1)/ WA)ALL
VA
A. •►
. v
ZWA
r/
)OF ►.�L� No. of Units Bedrooms
ROADWAY R/W WIDT dr
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
A -T-71\c flEP 1 L2 MkP
SOUTH
I hereby certify informat" bmitted
as sill/
Owner or Agent
is correct and there
m
tri
State License No.
01A11 4e12.
12.
Ind. Ins. Acct. No.
RESIDENTI L.- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed i
are no other structures
located on this property except
Dat e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON - REFUNDABLE AND NON- TRANSFERABLE
DO NOT WRITE BELOW THIS LINE 3/
Your street address will be �, f % /� f3 /}�, FQ�(� �DRD /k_The zone is ACz►'Z1C UI' AA12- L
Sewage Permit Number Issued Building Permit Receipt Q003 Issued
Remarks Mft1 L .5 d- PERMIT-
r
Form 523 Bldg. Code
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