1979, 04-02 Permit App: N2433 ResidenceCounr ' of Spokane. Washinran
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. 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
61)
Name of Owner
Architect .
Engineer
Contractor
lc(
tkift
Address
Address
Address
Address
Legal Description of Property (Give ,com lete description m,dee ax receipt, etc.l /Parcel Nuryklpr
.t/ +fv G' CZ 4-
rj
Phone
Phone
Phone
Phone
3
/ 6pts-
DESCRIPTION OF WORK: New � Addition
ZZ
Size of Lot
Stories
Rooms + Baths 3 Basement �t1 Foundation Const.
�p II, part, none)
Heat. System 44 '' LM ,, Typ�.,of Roofing
Use of Bldg. f'tl
Remodel
Dimensions . 2 e 2
z
Moving Bldg. Zope i Fire Zon
Const. ��Qidf P
(Fr., Conc. r., etc.)
Sewage System
ROADWAY R/W WIDTH
Draw sketch with
proposed buildings;
tem and water supply
Total Sq. Ft.
a• -.1" 4 --Chimney
Ext. Finish j7 it
PLOT PLAN
dimensions showing: (1) property lines; (2) street or road
(4) distance to property lines ar.d streets; (5) dimensions o
lines.
NORTH
ay
3 L
SA/ H
�nbm
•
.z r
ner or Ag
correct
ind
Int. Wall Finish
No. of Units Bedroos
3,
Valuation'..r7:5 (L
eplace
(Number
l
locations; (3) location of existing and
f buildings; (6) location of sewage sys-
State License No.
.Z33 NN
Ind. Ins. Acct. No.
3i
717 GLC
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
-2
Date
A LAND USE 0 STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
M ` AY DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
22 l_5 1' z
Issued _
_The zone
Building Permit 1`��33 Receip