1978, 09-14 Permit App: N0650 ResidenceCunt ,� 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 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.
R TRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land which are enforceable
thjugh civil action. County Officials can not bring action to enforce covenants or dedications. G
�r,��Y� APPLICANT FILL IN BELOW THIS LINE /yam/�
Name of Owner/1-4°a' W / 1..v�jt/�/ e. i(.45i Address c , ��1701/ (J>,t02!%Citcci Phone a.9262/476/
Architect Address
Engineer
Contractor
Legal Description of Property (Give complete description
c 4 9,2 14)-729C--11( L
Phone
Address_ Phone
a,
Address /.27."/ 4vt/�(�t_Q Phone
e 72, ---44—&
from deed,Ax receipt, etc.) Parcel Numr (2�on
0 -,w
- O 3oY
DESCRIPTION OF WORK: New )C Addition
� t
ensions !a
- Size of Lot
Stories Di (m f
RoomsBaths Basement
(Full, part, none)
Remodel
Moving
Bldg. Zone / Fire Zone L.
Sewage System S % Const.
// Total Sq Ft (Fr., Con Val Con(j Br., etc.)
X y ��r// ,
Foundation Const0-���-A-E �—f Chimney Fireplac
Heat. System_-—TT"yppeee of
Roofing &G.377
ROADWAY R/W WIDTH
Use of Bldg. /e/—c24'
/
1
(Kind) _ umber
Ext. Finish / — /-1/ Int. Wall Finish �_�
i
ter
No. of Units/ Bedroo s t�
GGGC-e :a4 , J'i
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
?
I he eby y rtify informs
as shown.
SOUTH
rect and he are
State License No.
/70-// —CC -073105
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Owner
A LAND USE OR ST
THIS IS NOT A PERM!
ti
/ / /977
Date
TURE PERMIT MUST BE ON THE PRE 1 ES BEFORE CONSTRUCTION COMMENCES.
PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
r Agen
DO NOT WRITE LOW THIS LINE
Arc AO,f-/
Your street address will be
Sewage Permit Number Issued
Remarks
/7
The zone is J'
Building Permit.11,-,Iteceipt57%j--I ued
•
Fors, 523 Bldr, Cnd=.
1