1978, 09-11 Permit App: N0509 SewerCo
of Spokane, Washi
n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT J ���_---
GENERAL REQUIREMENTS
PERMIT FEE
7 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 �.�l, ,!. 1 ./L. ,... .✓ . Address
Architect . / Address
MJdress
. idress
Engineer
Contractor %1,VZtir1„..,
q94
Phone q 2—G,dg
Phone
Phone
/Phone
Legal Description of Property (Give complete description fron seed, tax receipt, etc.) Parcel Number,°�".2--4/9/–q/
a/lee
DESCRIPTION OF WORK: New7X__
Size of Lot 9/9 )(/ Q
Stories D'men `ions
Rooms aths_,: 21"Basement/LW
_ (Full, part, none)
Heat. System 4 4Type of Roofing
Addition Remodel Moving
Sewage System
1
Use of Bldg.
_--�� Total
Foundation Const./ a +✓rZ �
BIg. Zone / Fire Zone .3
Const. -`!tom/
(Fr., Conc., Br., etc.)
00
Sq. Ft.3Cv� Valuati n X4-404015
Chimney/ irep aceA�
(Kind) (Numb -r
Int. Wall Finish
No. of Units Bedrooms
Ext. Finish 7-//1
ROADWAY R/W WIDTH
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.
m
1
NORTH
c eti
I hereby c tify informat
as shown. ` 5
SOUTH
on subitt
m
lw
H
–1
State License No.
Ind. Ins. Acct. No.
C RESIDENTIALCOMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Owner or :ent \ Date
A LAND USE OR STRUCTURE PERM! MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
6M) '41,11.1C1.,40r �
Your street address will be,stj�/,fj /� _the zone is yu-',Oaf
Sewage Permit Number Issued Building Permit Receipt . f67.1 Issued
Remarks
DO NOT WRITE BELOW THIS LINE
COMMENCES.
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