1978, 10-06 Permit App: N0915 Enclose PatioCow / of Spokane. Washir 'on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERM,
o-0
GENERAL REQUIREMENTS PERMIT FE
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.
ESTRICTIVE 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
Name of OwnerQQ1Y1�x a • V LLD to 517 . Address S • 1 0 0
Architect . Address
Engineer Address
Contractor Address9
q47 a.0iG
Legal Description of Property (Give com.Iete description from deed, tax receipt, etc.
Parcel Number
i ! -
Phone 538- OS69
Phone
Phone
Phone � QQ
0~.._O.,
633-o C1
DESCRIPTION OF WORK: New Addition.( Remodel
Size of Lot too/k Cr, -2'S,
1
Stories Dimensions .n X la
—
Rooms ✓ Baths Basement - Foundation Const.
(Full, part, none)
Heat. System / Type of Roofi
Use of Bldg. .2.11114►)10
ROADWAY R/W WIDTH
Moving
Sewage System
Bldg. Zone 1 Fire Z '3
st.
Con . Br., etc.)
Valuatio
Fireplace
40,,c:),0 O
� (n� (Kind) (Number
C) -(4l Int. Wall Finish
No, of Units Bedroom
Chimney
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-
d water supply lines.
NORTH
I he
as shown.
1
SOU TH
State License No.
6u7nStn�
Ind. Ins. Acct. No.
COMMERCIAL
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/0/71 /1"41-‘6'
fy information submitted is correct and there are no other structures located on this property except
coa Plyvhilf lo 6, Y7-53.
Owner 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
Sewage Permit Number
Remarks
Issued _ Building Pe
e zone is -
Receipt 74,21_Rued
•
•,
CV'
—
4