1979, 06-12 Permit App: N3652 AdditionCour. of Spokane, Washinn N'/Nl/yUrvl Fcfr
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, aset-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 A-4 flA. v fQf 4A
Address b 7/.2.Q. �_/IA-4-61-6,n1-1 Phone c;.72 -/".1D%
Address_ Phone
Address Phone
Name of Owner /0/2itf--. c./;ti a .L -r»
Architect
Engineer y
Contractor %C 4n tf9 Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Pro/-
DESCRIPTION OF WORK: New Addition J(
Size of Lot _7,-5-1(
Stories—L. Dimensions .
Rooms NA Baths_M.A BasementFoundati
(Full, part, none
Heat. System
Use of Bldg.� ./
ROADWAY R/W WIDTH_ r v
A/A Type of Roofing 0,2
Remodel Moving Bldg. Zone / Fire Zone S
Sewage System A/A onst:_7i4Qr/✓e -
Lrt; / (Fr., Conc., Br.. et)0
-- Total Sq Ft 7tz Valuation SOD -'�
on Const. 0-11-14-e-4-,-(9--1 Chimneyp _.&_
Al A- (Kind) Fire lace (Num er q�
1- . y-y--�� Ext. Finish 7-:-.../1/ Int. Wall Finish ,��/� 4 et-
A-rt-.t.("r"G'/.e SSE rLl - 3 icar 7 No. of Units Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (I) property lines; (2) street or road locations, (3) locat
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) loca
(tern and water supply lines.
�v
cn
H
NORTH
ad ottic.d-u,¢l , ,ua L- 4,4-e
C( .G{tC1Gt
/ .-
SOUTH
I hereby certify information submitted is
as shown.
r
on of existing and
ion of sewage sys-
State License No.
(5 .44.1-1.(24.--
Ind.
L t -1C€4 -
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
'// di/7 9 eLt.F e
correct and there are no other structures located on this property except
w-- 79
Owner or 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 / ti
7
Your street address will be
t4✓ , 7/oi:..Z `7 aid-o-te to
e zone is 0.446e-d,(�f.(,(���
Sewage Permit Number Issued Building Permit Receipt H7 Issued
Remarks