1979, 03-09 Permit App: N2158 AdditionCourt of Spokane, Washindon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 0
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT /i
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
Name of Owner
Architect .
Address e
Address
Engineer - Address
Contractor Nein;14,1 i Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 09,5-4/ -_D //3
�- n r /-Z 0 4-K / -7/11,(771 f to knyvtryk/ Gf.441
Phone y-27- J I
Phone
Phone
DESCRIPTION OF WORK. NewT_ Addition X.Remodel
Size of Lot 7J X //�Q
Stories Dimensions / n X -0-
C ,
Rooms '— Baths Basement
Heat. Syste P
ul 1, part, none)/
Type of Roofing
Use of Bldg. rilq /41,4._
ROADWAY R/W WIDTH .S0 1 '
Moving B(ld Zo_ne-- Fire ne �i
Sewage System L -f6LdL FCErst.
/ (Fr., Conc.. Br., etc.) da
-_- Total Sq. Ft.:Lin) Valuation OOO
Foundation Const LA--2W'4-P--fti Chimne Knt
-f Fireplace u b/�r 2�. /� Ext. Finish / -/1/ Int. Wall Finish .(l,ryt--G/ 7 4/
No. of Units Bedrooms
:lea*, LA/-vf.('.e-•
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.
7j_ fl
NORTH
FRE/J Fr7 / r K
COU -T H
I hereby c 1 f y informationbi
as shown. /
tted is correct and
State License No.
Ind. Ins. Acct. No.
ESIDEN- TIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
,/T/!f g
there are no other structures located on this property except
c2J2-0-c, i-9-79
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
Your street address will be fr, //9'/o s� ,rp�./.'i,['4�'-� _'he zone is
Sewage Permit Number Issued Building Perm itt?/�lteceipt j"3 7 Issued
Remarks
17/d -/.ca- O K (?J
Form 523 Bldg. Code