1979, 04-24 Permit App: N2918 ResidenceConnie of Spokane, Washinc,n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ro0
GENERAL REQUIREMENTS PERMIT FEEfif 8�J
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
9y'b
Name of OwnerijM7—%Jl,17.G
Architect
Engineer
Contractor M Prr -1 1 NG / y c. a N ST
Legal Description of Property (Give,complete
f)/ Pel 8/'- J
Address .,
-'i 1 , ; Phone y''=
L/�� o � r ,/ � _ --J
Address Phone
Address Phone
Address,. 4/OG SuLL 1 UAW Phone g24 —29/i
description from deed, tax receipt, etc.) Parcel Number PM of 2051.1-3-9029
DESCRIPTION OF WORK:, New‘',/- Addition
•
Size of Lot
Stories / Dimensions
Rooms
Remodel
Moving Bldg. Zone 9 Fire Zone 3
Sewage System ' onst. ( -?
(Fr., Conc., Br., etc.)
Baths_..._ Basement •' Foundation Const.
(Full, part, none)
Heat. System - , Type of Roofing.
Total Sq. Ft. /63%(Kind)Valuation
Chimney Fireplace_
(Number
Ext. Finish Int. Wall Finish
Use of Bldg. —Eil_�- No. of Units Bedrooms
ROADWAY R/W WIDTH 1 ATIJ4CGH
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.
m
NORTH
I hereby certify
as shown.
SOU TH
formation submitted is
�. JAL -AL
Owner or Agent
State License No.
F/L
Ind. Ins. Acct. No.
l2-� 17-7
- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
7.Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
49.2,s7-7, 02.4.4vap
rrect and there are no other structures located on this property except
/77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A4ERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
0(1/ PikAl)W DO NOT WRITE BELOW THIS LINE 9/r
—The zone is SIN ULE FAMILY R�5'
Receipt _0y Issued
Your street address will be %
Sewage Permit Number Issued
Remarks
Building Permit
Form 523 Bldg. Cod.
I