1979, 04-16 Permit App: N2674 AdditionCouj of Spokane. Washinjon
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 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 tr to .246
Name of Owner Address • / '�' Ij IiL�J' /GC/f Phone iY —40 96 7
Architect . Address_ Phone
Engineer_ Address Phone
Contractor i°J,t t i. �' - Address Phone `�
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number ,1.5,35.2q{ Ui
I -I L .d i h •
/1-/ /3zK J'/ J j.
DESCRIPTION OF WORK: New _ Addition A Remodel
Size of Lot J5X./®0 /
Stories_ Dimensions et• x "'"-f Total Sq. Ft /kfr 4/ Valuation iS-t'4'._—
Rooms / Baths Basement J\/ A Foundation Const. t .i i Chimneyh•��Fireplace 3/�.X
(Full, part, none) p (K:ind) (Number
Heat. System Type of Room 0. L./J Ext. Finish 14/fit t Int. Wall Finish AAA
Use of Bldg. j .o-YU 1' 1
ROADWAY R/W WIDTH .411.-, f
Moving Bldg. Zone / Fire one
Sewage System onst. ~
lFr., Conc., Br., etc.)d
(Xi, 1—' T
No. of Units Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road 10 ations; (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
to
NORTH
[1
C{{/CKEA1
C[UUcSE
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
2=E: REQUIRED
Plumbing Permit
0 o Heating Permit
Sewage Permit
h
SOUTH
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
0
I hereby certify information submitted is correct and there are no other structures locate on
as shown.
UL /, . - 14 " 719'
Owner or Agent Date
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
DO NOT WRITE BELOW THIS LINE sl ( 1/'
Your street address will be 4 / �/. -/ :-_'1, .e zone is�j.Q 72 1t t1 L
Sewage Permit Number Issued Building Permit Receipt :34. Issued
Remarks
this property
except
kt