1979, 06-05 Permit App: N3586 ResidenceCoun' I of Spokane, Washinc an
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT *c7
GENERAL REQUIREMENTS PERMIT FEE [Q
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 SpokA
Name of Owner FX'£LlATW VE I NVI STMfr NT (.012,p Address 6. 13O)G 14'`712
Architect Address
0
Phone 1122..-¥45'b
Phone
Engineer Address Phone
Contractor -63f5 SAW-- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number C /.S'I - 0-703
I -+T 3 - 1- ALE. ADDrrihW
DESCRIPTION OF WORK: rNew X Addition Remodel Moving Bldg. Zone / Fire Zone 3
r
Size of Lot / O0 k 15Fa S
Sewage System ErTtc Const. _ERACM�
(Fr., Conc. Br., etc.),
Stories /t- Dimensions 2.G2.GiC 60 i 4 2
i )c 40' 4 LO X_ g I •r Ir, X !3 Total Sq. Ft. 1960 Valuation# O
Rooms 6 Baths 2 Basement FULL- Foundation Const CGNrRr"E
(Full. part, none) Chimney(Kind fireplace i--N1>tiT_�..
(Number
Heat. System ELECT B.B Type of Roofing CINMea TfoN Ext. Finish T 1J) Int. Wall Finish ) .)'j tJAL.L
Use of Bldg. P- IDENLC- —C-IAZArcil+' .4. ?,EC,N ATTACllEE)
ROADWAY R/W WIDTH
No. of Units Bedrooms +�
FI NI.SI+p? PEDPcxiNl At'1L BA J4 11.1 RAsf14,04--r
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.
NORTH
-A'rr -cHgo PL b -r M A f
SOU TH
223-01
- COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
x/7/7 f
/41444444
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
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
,J&i.t'4 : 5�ta7q
6V • f J DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued
the zone is Sit•Ii_f_fi)0141ty
Building Permit /, Receipt 17/5_63_ Issued
Fonio 523 Bldy. Code
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