1978, 11-07 Permit App: N1360 Residence71
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CouJ; y of Spokane, Washir ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /3
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 slaked 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 INE �/Q2Dly
49 Phone 3t /777
Phone
Name of Owner
Architect .
Engineer
Contractor
9i
Address /.5/
Address
Address •
Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Phone
- /81
#tfrI I fl- •�aIIt ' ,_ _,Wrefl t47 ri/�~ I
DESCRIPTION OF WORK: New P"..." gq�d/d�'ti%Qn�l �r ✓ Remodel "Moving Bld• Zone Fire ,na
Sizeof of p' /t `L'�' -/ '8 BALV/_ Sewage Syste �j�
% LEVE 2` 930 2-7 11i(2� YXG Tota q , f
S[orie4 Q Dimensionsgq F[
Rooms C� Baths_.___ Basem Foundati•n Const Chimne,
c F II, part, no e) - (Kind)
Heat. Systerti-/�1tn -Tyr of Roofing �f t Fin- h — 1/ / Int. Wall Finish
Use of Bldg. _ L! / .�.4tL/� 'A No. of Units Bedrooms
RQAO AY R/W WIDTH ✓D ' ,(��XUN ����
Const -
-�`
(Fr., Br , etc.
aluation[ion
Fireplace
( Number
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
SOU TH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
HSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
f()//7f awe;
•
hereby ce�'•I®information submitted is correct and there are no other structures 1 Gated on this property except
/ 7/78
r• er or Agent - Date
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 /_
Your street address will be /5/9.-5- �- -b ' e zonee/�h�iis -/ 1S
Sewage Permit Number Issued Building Permit X136 Receipt? / Issued
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