1979, 02-20 Permit App: N2022 ResidenceCour of Spokane, Washineon
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 stilted 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.
%2ESTRICTIVE 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 Owne
Architect .
Engineer_
Contractor .4(741 J
Legal D scription of Propert (Give complet- description - . fro. d, tax receipt, etc.)
►i /S ice'
Address
Address
Address
Address
API
. Phone 9107c, "�leO
Phone
Phone
Phone � (
Parcel Numb�r 7 op as y3 " T n`s�
DESCRIPTION OF WORK: New Addition,_ Remodel
?7X /Q'.
Size of Lot
Storie
Rooms
Dimen ons L
Heat. Syste
Use of Bldg.
ROADWAY R/W WI
Baseme
(Full, part, n ie)
, Type of Roofing
Moving B,.g. Zone Fire Z9ne D
Sewage Sy ten" onst.
�Fr., C c , Br., etc.) '
X a--1 ePAi 4.2 Tot I Sq. F " ' Valuation ;7
Chimney Fireplace
b
Ind) (Number
Int. Wall FinishL!l�Q�
ndation Const.
Ext. Finish
//(1i • No. of Units Bedro&riis ,3
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road location •;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
to
NORTH
I hereby cer
as shown.
SOUTH
Lyra
(3) location of existing and
(6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
n+ Heating Permit
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
information ubm ted is correct and there are no other structures located on this property except
A LAND USE OR
THIS 1514OT A PJ
or Ag-nt
Date
RUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
RMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
�--� -�
0-73 DO NOT WRITE BELOW THIS LINE
j
Your street address will be
Sewage Permit Number
Remarks
—The zone is
Issued
Building Permit Receipt23(1 Issued
00 ?",/94 5L
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