1978, 12-12 Permit App: N1665 ResidenceI
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Couoy of Spokane Wash on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE ---------------
PFRMIT 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 BTALDINGS. 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�i
Name of Owner_ Naurebb �r r
Architect - Address_
Engineer_ Address
Contractor , 2,14a Address,
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
L�. r Phone,43 _..a ff
%o
Phone
Phone
Phone
Parcel Number- '9 O 3 — 97e2-2 .7
DESCRIPTION OF WORK: New / `� Addition Re odel Moving BI g. Zone LFireeZZ_ ne
Size of Lot h X 2% Sewage System Fonst.oric., Br., etc.)
i
Stories Dimensions,- Total Sq. Ft.^t Valuation
Rooms—L— Baths Bas Basement Foundation Const. l0/�- t.L/�ZP �i Chimney ip„ - it ace .��
(Full, part, none) (Kind) (Number
Heat. System Type of Ro fing Ll / Ext Fini h / �v - Int. Wall Finish
Use of Bldg.4t� __ No. of Units Bedrooms
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.
NORTH State License No.
(9 1,-) tc
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Ind. Ins. Acct. No.
RESIDE�NT�A-L' COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here ce ify informatio submitted is correct and there are no other structures located on this property except a
as shown.
Owner or A Date 1
A L D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
( DO NOT WRITE BELOW THIS LINE
Your street address will be11_ �yC_ 9s'��.
the zone
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Sewage Permit Number ____ Issued _ Building Permit _ Receipt ' Y_ Issued
Remarks
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