1978, 09-21 Permit App: N0686 ResidenceCour 'y of Spokane. Washinr♦on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 c...,_,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT g�
GENERAL REQUIREMENTS PERMIT FEE
e, 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 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 � .4, _94,2-e,
�l
Name of Owner t//�� ! 4. E Address 1,///O. 3 C,-;41 4t(Phone 942 61---4/&,,
—t7 ,4J
Architect Address Phone
.
Engineer_ Address Phone
c
Contractor IiCI Address Phone
yLtl ,/"
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel NumberpTA/+ ZZac5-Tf -d 87J--
•
Lt1T/ P.1 -A-.5"." 11o_ -i -f. £4t( -Lea
DESCRIPTION OF WORK: New_.> Addition Remodel Moving B19. Zone Fire ZZone.,1
_J
Lot /o 7 k. A.:3.4,_'.) Sewage System LP-Z.c, Gonst.eg.�' 4 '
Size of
1 / Fr., Conc., Br., etc.)
Stories Dimensions 23- L7 - /' -'3f3 'f 2 X �� »Zx 2 Total Sq. Ft. / Va d
.X ___6_1_42A0
5l Basement Foundation Const Cd Chimney ire lace
Rooms_ _ Baths
(Full, part, none (Kind) ( umber
Heat. System 4, Type of oofing Iii �._' Ext. Finish -' f / Int. Wall Finish _
.fir ,
Use of Bldg.tinggr 1 i , , �- ' 1% ..1 .i <i. No. of Units Bedroo s
,. _011. ..„,
ROADWAY R/W WIDTH .Toi
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.
/t 7 NORTH
t �
State License No.
0 KoN /=i.�,e
Ind. Ins. Acct. No.
.ea.”
(R SIDENT t,- COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
m
to
X1
Sewage Permit
-4
—I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
CI hereby r ify in oraea tion witted is ect and there are no other structures located on this property excep
as shown. /
11
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT U BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE -REFUNDABLE AND NON -TRANSFERABLE
AM 1/1/kms e2DO NOT WRITE BELOW THIS LINE �r
Your street address will be 40 t i
f_The zone is,.).2 1,14_ ✓f(
Sewage Permit Number Issued Building Permit Receipt iL or Is ued
Remarks v6 KC
Form 523 Bldg. Code
1
A
LQ
bth
•
4*-• ---,-*
2 I
t
Go fitoPI: . 1,
V
5
•