1979, 02-16 Permit App: N1995 ResidenceCoujy of Spokane, Washir ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE .OR STRUCTURE PERMIT
PERMIT FEE.I_2/
GENERAL REQUIREMENTS
5.e
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. r
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.
APPLIC:NT FILL IN B LOW THIS LINE
Name of
Architect Address
Engineer_ /9Z,� Address •
Contractor Address
Legal D%scription of Property (Give complete description from deed, tax receipt, etc.) Parcel Number ,0_5 10
� / r
Phone
DESCRIPTION OF O/yAddition
Remodel Moving
Size of Lot /„JI�x1
/t Sewage System Cons
Cons
•
n Q ��� ///��I 7�p� (Fr., Cone., r etc.)
Storie c Dimensions -2_64 fir-' '�4• le5/ /� . oral Sq Fts�. �J7Valuation
�
C,
Rooms Baths Basem:, i - ', Fo ndation Const. Chimney Fireplace
/ e (r I part, no f / / ��//C�C / -, (Kind (Number
Heat. System L—CJ fIt Type of oofin• 1. Exis Int. Wall Finish
Use of Bldg. J j L/ L -ill /
fid/ /
Bld Z
_L Fir
ROADWAY R/W WIDTH
No. of Units Bedroo s
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
m
N
N
401
I hereby cert
as shown.
SOUTH
.nformat' n submitted
� i ge
correct
r
State License No.
7z3 -4e FL -E -E-7"8
Ind. Ins. Acct. No.
--C229PQ ie 18-79
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d there are no other structures ocated on this property except
Owner ar Agent Date
LAND S OR STRUCTURE PER MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT APERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERAB E /�yJ
DO NOT WRIT BELOW THIS LINE / /
Your street address will be
Sewage Permit Numb•
Remarks -
/6546,
i
Issued
Le /
Building Permit
//
e zone
Re eipt
.194
L
A/
ssued
78
1
FLEETWOOD BUV..1) & DEVELOPMENT
1 12615 SKYVIEW
SPOKANE, WA 99216
4
4
4
•
0
FLEETWOOD BUILDING & DEVELOPMENT
E. 12615 SKYVIEW
SPOKANE, WA 99216
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