1978, 09-06 Permit App: N0395 AdditionCourt of Spokane, Washh on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /3 a' 0»
PERMIT FEE. l—
GENERAL REQUIREMENTS
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.
RESTRICITVE 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 LIN
Name of Owner
Architect .
Engineer
Contractor
Legal Description of Property (Give complete description from de d, to receipt etc.) Parcel Number
iA 4. 4
ddress
Address
Address
Address
994,
Phone 90201-3,jcq -c. T
Phone
Phone
Phone
• /eCY/— 9//.
DESCRIPTION OF WORK: New Additiont��
Remod
Size of Lot
Storiesd Dimensions atm -'X /6
Rooms+ Berth^ s �,_ I jarrmeno
Heat. System 1 e Cn�.iv��c�9Type o
.Use of Bldg.
ROADWAY R/W WIDTH
Moving BI Zone / Fire ne t"7
Sewage Syst�Const .
/9X}3 Val, Br., etc.
Total Sq. Ft.r2 /aS Valuation
Foundation Const 1/4--630141‘..4 & Chi rine Fireplace_L.
ed
(Number
Wall Finish
c4&--J:Lrof Units Bedr
o
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.
I hereby ;ertify inforation submit
as shown.
m
N
N
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
b r n
REQUIRED
eceived
grans Returned
Plans Picked Up
Plans Mailed
6'
FP:pi ,4-4--€476
ed is correct and there are no other structures located on this property except
eYF- 6 - 767
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
O ) if
Your street address will be
Sewage Permit Number
Remarks
f. Tec zone Ss!�
Issued Building Permit tet^ (/ Receipt,-�9.5,� Issued
�� 7ci�1
Font, 523 Rldrnf nd-