1979, 02-27 Permit App: N2048 Remodelr1
Court] of Spokane, Washirrpon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
41
TipS
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 Xl
Name of Owner.fnhAiN /.1/� Address(_. 97Oc f/1/44!..1- G.() Phone 71 -0 -
Architect
--Architect Address_ Phone
Engineer ti Address Phone
Contractor oA) nM?.i — Address Phone
Legal Description of Property (Give complete description from deed. tax receipt. etc.) Parcel Number 0 S'$ - lair.
. 4Ce gg2o G
ata .. mt.
DESCRIPTION OF WORK: New__ Addition
Size of Lot _/33 X /4 5t.
Remodel )C Moving
/
Stories.aZ__ ' Dimensions /"AK Il f 9X / 7
Rooms.-_ Baths_ Basement (n�124Z Foundation Const.
(Full. part, none]
Heat. Systeme-at-et p -at -e anA Type of Roofing -H'f'fLP-�t.Finish
vekd.
Use of Bldg. C , iIJ.Q e
ROADWAY R/W WIDTH
BI . Zone _/ Fir one •'i
1 etc.)
Total Sq. Ft. &3 a Valuation 3rent../
Chimney NA FireplaceliLS
(Kind) (Number
Int. Wall Finish
No. of Units Bedrooms
Sewage System Con
Fir
Fr., Conc., Br„ e
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.
rn
NORTH
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Jea -P.A-tecd1.2_
otel
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SOUTH
I hereby cetify in
as shown.> '± j
State License No.
Ind. Ins. Acct. Ns.
RESIDENTIAL- COMMERCIAL
REQUIRED
Plumbing Permit -.
rw Heating Permit
NSewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
-a7-79
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
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued
//
Building Permit
one
ceipt _ _at =Issued
•