1979, 04-13 Permit App: N2639 Demolition BarnCount of Spokane, Washinen
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 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 e1 LST-+c�G Address 'y '' `� w Phone
Architect Address Phone
Engineer_ Address Phone
Contractor Address --"%---!1 f
LegalPhone(
Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number ) .S i c;
"`
..GG
A r. J
-
/
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot
Moving Bldg. Zone /
Sewage System
Stories- Dimensions .r-" r:. %�` r Total Sq. Ft. 71
Rooms Baths Basement Foundation Const Chimney
(Full, part, none)
Heat. System J Type of Roofing Ext. Finish
Use of Bldg. \\
ROADWAY R/W WIDTk`" y74
(. .(
Fire Z e J
onst.
(Fr., Con , Br., etc.)
Valuation
Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
m
NORTH
SOUTH
m
I
I hereby certify ipformapton submitted is correct and there are no other
aghown. .ti . /r
Owner or Agent
(3) location of existing and
(6) location of sewage sys-
State License No.
Ina. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located��on this property except
pp
`fi/l3 y
Date
A LAND 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 be
• 1 U 1
Sewage Permit Number Issued
Remarks
/ , r
Building Permit
the zone isj
Receipts; Issued
3y
Fort. 521 Riff, C'n.1.