1979, 04-11 Permit App: N2660 Residencea,
Coun of Spokane, Washin ji
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE..-3G�1�
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.
P 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
038SR
Name of OwnerAddress R): - 1 PDX lglo e»rµORamt4• Phone 637 -O'223
Architect Address Phone
Engineer Address Phone
Contractor -Sahne Address SAvn E'n Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel NumberRWOP 07S"S'J -Mobs".
1661 --, 166,D - / 661 Lot Y g&.k . I c51MlSonL a'4'O• AOa
DESCRIPTION OF WORK: New t..---""_ Addition Remodel
Size of Lot _ i "'iC ii%r
/3�
Stories ±. Dimensions 48' 'y::, -- 9 C 2tt-f e'Y1 i
Rooms S Baths Basement P41/ Foundation Const
(Full, part, none)
Heat. System MrS E.A. Type of Roofing C'brr P,
Use of Bldg. Qt -S. HTT. %412 -f DECc
ROADWAY R/W WIDTH cSOf
Moving Bldg. Zone- 1 Fire Zone 3
Sewage System SEPT, L Const. >=,PRM6
6t F (Fr., Con* Br., etc.)
Total Sq. Ft./ew Valuation CO/ ear)
C-n4C.- Chimneym4s• Fireplace
(Kind) (Number
Ext. Finish II" If NI45. Int. Wall Finish xRJ-1 441L -L -
No. of Units Bedrooms 3
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.
e
NORTH
o See ATTiaTC,+k e
I hereby c -__i
as shown.
SOUTH
n ubmi
t ed
rect and there are
, State License No.
cc.--4_,o-tor-42.99k4
Ind. Ins. Acct. No.
05 - of - 7 9 .eio-
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
i7'ap S /iia,&
r
no other structures located on this property except
if 7
Owner or Agent 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
rs PUP. DO NOT WRITE BELOW THIS LINE
Your street address will be IR 06
Sewage Permit Number Issued
Remarks
u MCICEF
__The zone is - • F. R
Building Permit , 7 , , ` Receipt 47 J7 Issued
016
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Form 523 el a. Code
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