1979, 04-16 Permit App: N2673 CoverCour of Spokane, Washinjn
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT J
GENERAL REQUIREMENTS PERMIT FEE /O
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
ors[mcture 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 performeo 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 Cqunty 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 THISLINE
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Name of Owner tydiYniLrt e�- �/LGi�^ Address / 0 6
Architect Address
Engineer_ i ,/ ess _ t� � 0 0 s Q 4 Phone q.g— 3 7 3C
Contractor - � O� / " Address Phone
Legal scription of Prop Give complete description from deed, tax receipt, etc.) Parcel Number 0
nia
�� � --�i�
el
Phone
clef Phone
DESCRIPTION OF WORK: New _ Addition
Size of Lot 70'Y+IS'
Stories Dimensions C x 0
Rooms Baths Basement Foundation Const. -Alt .ofd Chimney Fireplace--
(Full, part, none) (Kind) (Number
Heat. System Type of Roofing -tit t/ ...k -r-1 Ext. Finish X-! " Int. Wall Finish
Use of Bldg. a z_o 0i /}-r-U'C- a.���" O /t No. of Units Bedrooms /� �%
/ �/ /
Remodel Moving Bldg. Zone / FireZore
Sewage System
Fr., Conc., r., etc 1 O
Total Sq. Ft. �� Valuation
ROADWAY R/W WIDTH •
PLOT PLAN
ILIA)
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-
te,, nd water supply lines.•
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NORTH
as
5 OW
hereb
n. i
r
1
SOUTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
wr Heating Permit
Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
on submitted is correct and there are no other structures located on this property except
A LAND USE OA
THIS IS NOT A P
Owner or Agent
STRUCTURE PEI
RMIT. PERMITS
Date
MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.(,
ARE NON-REFUNDABLE AND NON -TRANSFERABLE
Your street address will be
Sewage Permit Number Issue
Remarks
DO NO.•/ ITE BELOW THIS LINEY/_ �I o)
/ 1 hrf The zone is
Building Permi
/S
Receipt 01 3 l 9' Issued
• Form 523 Bldg. Code
1