1978, 12-05 Permit App: N1615 Barn\ r , :17
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Cou* of Spokane, Washh on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON,+SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,��
GENERAL REQUIREMENTS PERMIT FEE. .7 '
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
Name of Owner,>,il YEE
Architect . Address Phone
Engineer_ Address e, Lr �1 Phone
Address/0 c//S 6. DS ✓14,27 Phone9,-;;V- i 7
Legal Description of Property (Give complete description fro deed, tax receipt, etc.) Parcel Number .-3.66 7. - a:30 7
Address X. l C d'E)CL rc.Ye-.4.✓ Phone j'S74`
Contractor
;. k/
DESCRIPTION OF WORK: New Addition. Remodel Moving Bldg. Zone / Fire Zone
onst. _��
'/ (Fr., Conc.,�/Br., etc.)
Stories_.. Dimensions / X 3 Ai
Total Sq. Ft �'� Valuation 5'ele` C'
Rooms Baths Basement AI✓ Foundation Const. (�Z Chimney Fireplace
(Full, part, none � (ber
Heat. System_ ,Type of Roofing
/.S"� N / Ext. Finish ,-.54 N / Int. Wall Finish ti� At
Use of Bldg. T b%4X V , �j7-rf'/9'GE
ROADWAY R/W WIDTH
Size of Lot //,&(:) X 33
Sewage System
No. of Units 4Bed oms 1'
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
SOU TH
State License No.
t/iJ
Ind. Ins. Acct. No.
TI COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed \ A\ v
I hereby ceytify information submitted is correct and there are no other structures located qn this property except
as shown.
Owner
1 �t
Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
_The zone is
Issued Build in:`ermit /Receipt /. 71_Is eu
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