1979, 04-17 Permit App: N2802 PoolCou of Spokane, Washi on
N 811 JEFFERSON SPOKANE, WASHINGTON 99260
BUILDING CODES DEPARTMENT, -
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.
APPLICANT FILL IN BELOW THIS LINE
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.
4Stat411 � NORTH
e License No.
r'
Ino. Ins. Acct. No.
i
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
so
UTH
I her byqer ify inform tion su m' ted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USESTRUCTURE P T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A ERMIT. PERMIT E NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
v v
Your street address will be 0, f,LJ e zone issewage Permit Permit Number Issued _ Building Perm i Receipt Issued
Remarks
G,,,,., S9'1 P. I.J,.. !'...J_
Address y f t ," r'' Phone `i t.� r 'r`>r i
Name of Owner
Phone
Architect .
- Address__
Phone
Engineer_ -
Address_
% 7'; Phone
Address, %"(
/ �'
Contractor
Legal Descripti of Property (Give complete description from deed, tax receipt. etc.) Parcel Number_ r _ ----
DESCRIPTION OF WORK: New__ Addition
Remodel Moving Bldg. Zone ._�__ Fire Zone n_
f�
Sewage System./'i/ onstX '
Por.,
Size of Lot i' —
Conc.,Br.� etc9.)
Stories,iL Dimensions I L
Total Sq. Ft. A� >, valuation
Rooms Baths i! Basement
Foundation Const. r' ° v �� Chimney /1,�4 Fireplace�� -
(Kind) (Number
(Full, art, none
l LZ e_ p
4
%. t4" 1,t Int. Wall Finish
Heat. System �-' Type of Roofing
/k/ ¢� Ext. Finish
Use of Bldg. / , -+_ ' "1
No. of Units Bedrooms
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.
4Stat411 � NORTH
e License No.
r'
Ino. Ins. Acct. No.
i
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
so
UTH
I her byqer ify inform tion su m' ted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USESTRUCTURE P T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A ERMIT. PERMIT E NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
v v
Your street address will be 0, f,LJ e zone issewage Permit Permit Number Issued _ Building Perm i Receipt Issued
Remarks
G,,,,., S9'1 P. I.J,.. !'...J_