1979, 06-20 Permit App: N3820 AdditionCour. of Spokane, Washintn
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE-./
PERMIT REQUIRED. A land use or structure pet -mit 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 Countyand 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 99037
Name of Owne
Architect
Engineer_
Contractor
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number r7 7:5-171/ Q 9/7
r //_
Address
1/7/9 724cuin7-e4/ Phone 7.2A-4/7i5-
Address_� tt J ✓� Phone
Address
Phone
Address Phone
90' 4"c-290'/.S/'moi S%a /9d,. -t -
DESCRIPTION OF WEAK: ,New / Addition X Remodel
Size of Lot _ `d /.-F/
Storied Dimensions
Rooms
Moving Bldg. Zone / Fire Zone
Sewage System 4-1,.r {. const
Total Sq Ft h 1Valuation-1;!/O(/'°
45Br., etc.)
Baths Basement Foundation Const.
( ull, part, none
Heat. System P/z,eil• Type of Roofing f
Use of Bldg. e
ROADWAY R/W WIDTH
/2.42-,/r_ e271 Chimney N/9 Fireplace( N/A""
I , / (K4nd) L Number
Ext. Finish A iir Thi Wall Finish /.//B/ �fCC-i^/
t/ No. of Units Bedrooms /1/�
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
t water supply lines.
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
fFH s�65t
State
License
No.
Ind. Ins. Acct. No.
cpMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
age Permit
I hereby
as shown. r,
rt fy
Aosevii
LJd
nformat
ed
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
¼�r e
rrect and there are no other structures located on this property except
‘M_?
Owner or Agent Date
A LAND US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES,
THIS I5 NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will b
Sewage Permit Number - Issued Building Permit 4-natVDReceiptigel
Remarks
/7/7 Z i/9Ie./ " .K
Me zone is u A c.�
ssued