1979, 06-28 Permit App: N4061 PoolC04 of Spokane. Wash` on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT *435(x
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 performea 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.
r-LA11?. APPLICANT FILL IN BELOW THIS LINE .sPeyA4,E 4T92,0(,
Name of Owner s sDIVI�S Address S300 DBEiL L)N !ems Phoneg4Y 2.1d'
Architect . Address__ Phone
Engineer_ AddressPhone
Contractor SIAMZ. Address, Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number_ 295' 113ift77
LoT 7 BCn k GN _� t2 )al[L�S {4r./6i4XN A-Mt-rina ---- —
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone .. Fire Zone3�
Size of Lot 11!5,x 119' X L�_—X I�(p� Sewage System ESC_ ISMN4onst.:%1NYL"STEFL
t Fr.,Conc Br.
Stories. Dimensions �� ' i'C 32. _. Total Sq. Ft. 'S1Z Valuadotiort;0)
Rooms—ha Baths.— Basement )VbNI- Foundation Const. t A Chimney_— Fireplace
(Full, part, none) (Kind) (Number
Heat. System GAS5 Type of Roofing Ext. Finish Int. Wall Finish v►tiyL.
Use of Bldg. 5WIMMIN& 100,01_ No. of Units Bedrooms MA
ROADWAY R/W WIDTH
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.
MR
NORTH
State License No.
Ina. Ins. Acct. No.
ESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer�nformatio submitted is correct and there are no other structures located on this property except
as shown.
� N M
Owner o Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
S_ 3_oo
OBE 9LfU 4a
The zone istL� G M[Cf/IL�I RQI
Receipt�='1 Z Issued
Issued _
_ Building Permit :: �.!
Remarks
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