1979, 05-02 Permit App: N3034 RemodelCounty of Spokane, Washing an
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. Sec 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
Address Ill.;.� CJ i' �.GC�z•4tL C' Phone q. -Z-= o. 34,g
Address Phone
Address Phone
Phone
Name of Owner�.t
Architect .
Engineer_
Contractor wLl �+� Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
k✓. z-.. 4 �i % J
Parcel Number PTA/ - i L,57111/ A-07/4 - 4 -Tei
A 0 r q, J
DESCRIPTION OF WORK: New Addition o Remodel X
Size of Lot .. 4 3 k
Stories. L - Dimensions
Rooms Baths _/ Basement--- Foundation
!Full, part, none)
Moving Bldg. Zone j Fire one.
Sewage System 1/4 Const.
(Fr., Conc., Br., etc.) U
A. Total Sq. Valuation 1/)G2li
Chimney AJ A Fireplace /✓_%}
(Kind) (Number
Int. Wall Finish -
No. of Units Bedroom
Heat. System
Use of Bldg.
ROADWAY R/W WIDTH
,Type of Roofing
r i
Draw sketch with
proposed buildings;
tem and water supply
PLOT PLAN
dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
(4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
lines.
NORTH
eby cer ''fy infor
are no other
State License No,
OK o,v � c
Ind. Ins. Acct. No.
RESIDENTIbh- - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
373/7/ eidabot.419
structures located on this property except
-;
n r or Agent Date
A LA ` D 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 ,.3, ,Q
Sewage Permit Number
Remarks -_
Issued
_The zone is
Building Permit 11/2 'Receipt ei2
Issued