1979, 04-30 Permit App: N3086 PoolCounty of Spokane, Washing &
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT IS/
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_
• i• NIL . . .
Architect .
Engineer n
Contractor �i�'h_�,."t_
Legal es ripti on of Proper y (Give co plate description from deed, t.x receipt, etc.) P. cel Number �7a _ (I
/ft ri 4 4 Com/ 41 A a/ .I / r%r��;r
i-imrlistir
Addition " emodel Moving Bldg. Zone
Address /.a U a a 71CA u ,, /Yyj Phone lad
Address Phone
Address Phone
Address Phone
DESCRIPTION OF WOQKv w
Size of Lot
Sewage System
n_ Total Sq.
(Full, part, none) Foundation Const. ry6e+J-4 % Chimney
Type of Roofing
Use of Bldg. CA.,fi),t_A
_
.�-.=r..� /
StoriesDimensions-��-�'�^ ' 6 X aV
Rooms Baths Basement
Heat. System
R6= AY R/W WIDTH
VZ
✓✓✓✓✓✓JJJJJJ Ex[. Finish�Ci[-4,/
don e
(Kind)
Int Wall Fin
No. of Units
I
Fire Zone
onstt a -Q
(Fr., C,7c�f,c., Br., etc.)
Val uai vi
Fireplace
( Number
ish� _AL"—, C
Brooms
PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
SOUTH
ertify information submitted is
A LAND USE 0
THIS I5 NOT A PERM
State License No.
'Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
• Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on his
r Agent Date
CTURE PERMIT MUS BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
operty except
7f
Your street address will be
Z4 O--[eara zone is
Sewage Permit Number Issued Building Permit j Receipt
0
Remarks
ssued
Form 523 RIdn Cnd=