1979, 05-09 Permit App: N3187 ReisdenceCou
of Spokane, Washingon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FE
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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 Address 4 Phone
Architect _ Address 4.11111E1 .� Phone 4.«
if4/6-
Engineer_ � Address It V206 Phone
Contractor 4/ST V41 I! y BUILDg,I2�S Address 812 S' DISNMAN KD Phone q241 —Si 36
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Z 52// -- isO�
Low' !! &-ock 1) /9�nlbEr osA x'RO AODITIO'J
DESCRIPTION OF WORK: New a7. Addition. Remodel
Size of Lot 78,62: X /516,72,1 X 113,48' )C 12
Stories_. Dimensions 7..+<1?' a --6-i' -1- 22: X 2..6 t
Rooms Baths '2- Basement PART Foundation Const. CIINCIZE
(Full, part, none)
Heat. System ==l-FGT Fh Type of Roofing r".c1\4P6STj7Qh( Ext. Finish `T 11 /
Moving
Sewage System
Bldg. Zone 1 Fire Zone
T Const. PRAMS -
(Fr., Conc., Br., etc.)
Total Sq. Ft.236q Valuation'sO0D-*
Chimne ire lace( MAASaN�
y (( i� p (Number
Int. Wall Finish pgyWA1 L_
Use of Bldg. Res[DcNGf._ - 4ARAGF
ROADWAY R/W WIDTH JPO t 1'LANKIi�C (.�Qt
No. of Units Bedrooms
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 s's-
tem and water supply lines.
m
NORTH
tti
I hereby
as show
certify
i 7'e
SOU TH
information submitted is correct and
1
there are no other
State License No.
WE. -5 -
Ind. Ins. Acct. No.
4 --
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RESIDENTIAL-COMMERCIAL
—
RESIDENTIAL-COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
57///7904a&
structures located on this property except
M/4y � la'J
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
DA/MAPDO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issue
Remarks
S 38/2, NieStG y Ddb! [ he zone isSZAW FA'hhl l- )4j4k
Building Permit Receipt ,0 ,k4,./6 Issued