1978, 10-30 Permit App: N1221 ResidenceCount of Spokane, Washing' )n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /0/
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.
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
Name of Owner
Architect
Engineer
Contractor
Address 77
Address
Address
Address
00, /simr
c79d
Phone
Phone
Phone
Phone 7 d,‘, -- Soo S---
Leg escription of Pr erty (Give complete de ription from deed, tax receipt, etc.) Parcel Number __et6__„__,C___ G'oL�
//— alp
DESCRIPTION OF WORK: New Addition
Size of Lot
Remodel Moving BId Zone / Fire Z
Sewage System .d.a-'-'-'fes Const.
i Fr., Co�y
Stories Dimensions7 ,V4 X J� a' X g--4Total Sq. Ft.�� Valuation
Rooms Baths Bt cement _ Foundation Const.—_ Chimney. Fireplace
(Full, part, non ce
/(Kind)
re I
Heat. System Type of Roofing_ Ext. Finish f 777 Int. Wall Finish
Use of Bldg.i dl....�� /�--I.. s L y- a/..1
ROADWAY R/W , IDT /
No, of Units Bedr
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.
m
1
NORTH
I her
Cas shown.
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SOU TH
akfrac'
RESIDENTIAL - CO ERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ertify information submitted is correct and there are no other structures located on this property except
Owner
or Agent
Dat e
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
ag DO NOT WRITE BELOW THIS LINE 44 ` 17l
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Issued J ilding der Receipt S 6. Issued
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Your street address will be
Sewage Pe it Number
Four 523 Bldg. Code
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