1979, 04-11 Permit App: N2933 ResidenceCour y of Spokane, Washinr ibn
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,
GENERAL REQUIREMENTS PERMIT FEE ./U__-.X.)C___.
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 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 LINE
/7 1aEa
Address/& / eA 3,5' ��G/(�CtIIr�Y.Phone
Address Phone
Address Phone
Address Phone
f7
Name of OwnerO i R /a(.. ,S1 -,e
Architect
Engineer_
Contractor 5« W(o �
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
hot /d .l3/oo< .dv r,-)cynt psi 2 4t
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone r Fire Zone
Size of Lot —79.45A .1-3i% 6.4A /315.5 A / 145- Sewage System.,1C
Const.
r (Fr., Conc., Bt., etc.) �<
Total Sq. Ft...,, -3/L- Valuation 9,5;94.5-09,5;94.5-0tN. Chimney/ �s�='%�(�ireplace_�—
)Kind) / �t (Number
dc‘:edc f` Int. Wall Finish
�� No. of Units Bedrooms 3
pout a A-r-rac
Stories.-_ Dimensions 30 1C.6" -if K 4- X21(
Rooms Baths__ Basement ✓ Foundation Const Q f r'
Full, part, none)
Heat. System.tkair Type of Roofingt orieat^ ' //4-keSExt. FinishQ
Use of Bldg. Pr j Vt�tC"_ '« t dc‘: C . q&r.� ci r' i Yl �1
ROADWAY 13/W WIDTH 145 J
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
m
1
SOUTH
m
to
State License No.
))5I -93j3 oK
Ina. Ins. Acct. No.
`i— 23-77 30 bAy
PEKIQ
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
y/3�/7 f �-Ge-
I hereby certify informatipn submitted is correct and there are no other structures located on this property except
as shown.
1 /
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
MDO NOT WRITE BELOW THIS LINE
Your street address will be 5, /8fl GcI'4kL//1/, gOAP The zone is SfJ6LE FAMIL7 RAS
Sewage Permit Number Issued Building Permit/-ai3 e Receipt 06/51 Issued
Remarks