1978, 08-22 Permit App: N0215 Finish BasementCouj of Spokane, Washirr=on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT —
PERMIT FEE `6
GENERAL REQUIREMENTS
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.
AP LICANT FILL IN BELOW THIS LINE 99c106— / '//
, Address � -��� Phone 301/474^ 4/71
Address 60 .�i�1PVar Phone
Name of Owner_
Architect
Engineer Address Phone
Contractor Address �/ Phone/
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Numbetek-% D 4L7 -4r2 "---3/4°‘:, lir
9a 62
DESCRIPTION OF WORK: New k _ Addition x Remodel
Size of Lot / / -
Stories Dimensions I* (a) l ieX
Rooms -3 Baths /(Full Bpart ntnol'Y'� Foundation Const.
Heat. System. -01- -- Type of Roofing A/79 -
r
Use of Bldg.
Moving Bldg. Zone / Fire Zone .�
Sewage System S. / • onst.
((// tFr., Co r., etc.)
Total Sq. Ft. '9 Al) Valuation <, doe, �O
Chimney Fireplace d'
(Kind)a. (Number
Int. Wall Finish �h .,c,l_.Oi
No. of Units Bed ms
N/9
Ext. Finish
ROADWAY R/W WIDTH
`3 /E rn2- QG Qi
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.
NORTH
3 Aibtryn "mc' Serite-n-4
%L et-Ott/L-2
SOUTH
I hereby cert . ormation s bmit/-d is c p ect re are n0
as shown. ��a ':1 / ��Ae
•R V
State License No.
chat -,,€-ti
Ind. Ins. Acct. No.
CCRESIDENTIA?- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
er or Agent tate
A LAND U 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
78
Your street address will be
Sewage Permit Number Issued
Remarks
Building Permit
e zone is
Receipt 5 -
rnr,a S92 Rldr, C. -,de