1978, 08-23 Permit App: N0402 ResidenceCour/ of Spokane, Washiijon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT n
GENERAL REQUIREMENTS PERMIT FEE
-14
ea
'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 build' d 4
or structure already erected, or to change a land use. Construction must conform with the Spokane County Building Code and Zoning Ordinance. C W
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, shou
or ditches of County Roads, permission must be obtained from the County Engineer's Office. (v r
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47-235. t///
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.
fJJ APPLICANT FILL IN BELOW THIS LINE
Name of Owner .�/&A • it v✓ S Address _ Phone
Architect Address Phone
Engineer_Address ��%z6 Phone
Contractor Et4 L ‘4.-24 D - kid 1- LI h AddressC• I n s -O -Z 16 t1-1 Phone et 2 "i Y-3
Legal Description o Property (Give comp) a description fro deed, tax receipt, etc.) Parcel Number e 51Z — 7fl b G
L0 -f n tl „S" diLAr,• -pr7r0elL-- p -ea -h
DESCRIPTION OF WQRK: New ✓ Addition p Remodel Moving QBldg. Zone 2 Fire Zoneon
Size of Lot - II p )( . I x /9 Sewage Systent3 ' I ' Const r nA m 6
Fr., c., Br., etc.) o
a6, x .-22- 4 X 2 1 /O' t v
Stones Dimensions �� L /� Total $pFL - C Valuat on�'t)OO
Rooms Bathe Basement/' ✓ Foundation Const f -p �jr" • ' Chim Fireplace
II, part, none) /' (Kind) ,n (Number
Heat. 13
yam j+_cA-t ype�gf Roofing�4 Mt Si - Ext. Finish T1 I I In . all Finish Y0 (Ic✓f.LL I
Use of Bldg. /Tc 9 S - 4,-. &_e -a t....- 'O0 e 4 No. of a • is Bedrooms T
ROADWAY R/W WIDTH ,
(7d .Q
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or Load-loca ions; (3) location of
lines and streets; (5) dimensions of buildings; (6) location o
IIg'
QoOGAL
Sv.
301
1 here
as shown.
and
sewage sys-
State License No.
Or"--.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
• Sewage Permit
N
Plans Received
J Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
submit t -f is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT APERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
(� // T !' _ DO NOT -WRITE BELOW THIS LINE
ft.
Your sire t address be -4)Q ni1CJl�C t c ��*�tit! �7he zone is ' v 0-4Sewage Permit Number Issued _ Building Permit A Receipt 1t4.C. Is ued
55e/
Remarks
Focc 523 Aldo Code