1978, 08-21 Permit App: N0305 Residencei
1
(a
Cour_ y of Spokono. Woshin;- on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 55260
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 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.
PLICANT FILL IN BELOW THIS LI
Name of Owner
Architect
Engineer
Contractor
Address 2
8 , - /L�/I - %One 9-28—_2‘49
Address_ Phone
Address �♦�� "��� ��ii //..y✓fi/n� /� Phone
Address ernse ! Phone /^t
deed, tax re i [. etc.) Parcel Number nw
Legal Description at at Property description fromP
DESCRIPTION OF WORK( New 41/AdditionRemadeI
Size of Lot / r
Stories, Dimensions
Rooms �n Baths 2, Basement
IFuI , part,
res
E T pe
Moving - Bldg. Zone
Sewage System
otai Sq Ft
C
Foundation Const.
Heat. Syste of Roofing Ext. anis
T/I/
��r � 9
Use of Bldg. Ay it fre / ®�
RQAbW7 /W WIDTH 5d �/
Drat( sketch with dimensions showing; (1)
Sposed buildings; (4) distance to property
tem and water supply lines.
NORTH
m
U
N
Fir e
CConst«
(Fr.. Cons., et�pc.l��A
Valuation Civ.
Chimn'TiZeggy Fireplace --.d.—
Number
Int Wall Finish
No. of Units Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I hereb
as saown.
State License
Liiceense No,
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
certify informatsu rt e is correct and there are no other structure sated on ih's property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
/The zone
Building Permit M'o.loj Receip
444
4."
X ia building thin zwirsidnune Tata cud 7 understand the STATE CONTRACTOR'S
LICERSZNO LAW.
bets 2 (- Cuirtosses Signat
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