1978, 09-14 Permit App: N0649 ResidenceO
Count of Spokane, Washing."<n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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. 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,
SCCESSORY BUILDINGS. Accessory building (garages, sheds, etc.) require a separate permit.
JESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land which are enforceable
rough civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE a,/(
Name of Owner. to� C_.IS7t.lN a.,s-LW
Architect .___1-0-2_—.
.
Engineer_ .4...0"--0---.
Contractor /.o -et PtTYr ttGLeZJYm
Legal�,�/JDescription of Property (Give complete description fr
CJTP-C g7 i ,i&-Lc°C / 1/ 7/0
AddressS1�,� ��/ Phone (26'—�v--YCO/
Address 3 Phone
Address / ` Phone �7 -7
Address e 1 /0 7 ?/ y/rLj% ['�_, Phone 9,, i47 A .�+/
`m deed, 5 tax receipt, etc.) Parcel NumbGJ (20 O 3 '7'
C
DESCRIPTION OF
Size of Lot —
WORK: New Addition at
Remodel
X' �%� • CSV r
Storie-1 2i mensions #' rX/CDI .1(+2-/
Rooms d Baths Basement o Foundation Const
�/•�-,�t (Full, part, none)
Heat. System F/¢. Type of Roofing eirn
Moving Bldg. Zone / Fire Zone
Sewage System 57 COnst one Br., etc.
!�ITotal Sq Ft Valuati tt--.5-'7, (z
ec_` Ys.Cil..1' -f _ Chimney Fireplace.
(Kind) (Number
Ext. Finish
ROADWAY R/W WIDTH
Draw sketch with
proposed buildings;
tem water supply
rr
N
Int. Wall Finish
s No. of Units 1Bedroo
c.
trGG/i iiJ ./rAtdo
PLOT PLAN
dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
(4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
1 ines. -.
NORTH
Agipt
I hereby certify i-:fr ma
as shown
SOUTH
State License No.
Z 1iS
Ind. Ins. Acct. No.
cl EN71clif;;L.cOMMERCIAL
REQUIRED
Plumbing Permit
nr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
78
aljtailf
ed is correct and there are no other structures located on this property except
ner or Agent Date
A LAND USE OR 4(TRUCTURE PERMIT MUST BE 0 THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
�yL • DO NOT WRITE BELOW THIS LINESewage Permit Number } (I
Your street address will be 07//� Issued -n 1 "1 The zone iiss7
Building Permit / 1 ` Receipt 1j /174i
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