1979, 04-18 Permit App: N2838 ResidenceCoin of Spokane, Washing!On
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -�
GENERAL REQUIREMENTS PERMIT FEE �'
6,
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner—I 3/11 l"Grjf 1r4Gr L,.sJ
Architect
Engineer_
Contractor
Address E /L'11 y A4 -14-i2_51-4 lj 6A -el -p.2-06 G Phone
Address Phone
Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PT.,) P/- O5Syq -1D24
/G' -r 77_. j-JL/t / p/Nc`S y✓c Sr /=I1LST AGON.
DESCRIPTION OF WORK: New '� Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot / 23. 7c / )(' � / X //3, $ Sewage System
ferric:- Const G�'G2 /7L9 1c=
(Fr., Conc., Br., etc.)
Dimensions ,211 X R'Y'° Vi - i<-- `3"/1)(7/ 1",y/2 L'4i/J[3
Foundation Const. c"CA./Ciet Tr
Stori ej� :/
Rooms / Baths _1 Basement PAL/
(Full, part, none)
Heat. System r/36 Type of Roofing C-c)/✓)lam
Use of Bldg. ,4E /Ota)CF-- (J2rrk- d i Tfa{r/e 21
ROADWAY R/W WIDTH
Chimney Fireplace
(Number
/ J
(Kind) --1
Ext. Finish / //l Int. Wall Finish S1/4--4-
//4/.7/= ,IIo. of Units Bedrooms 3
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.
tit
NORTH
1
se
1,. F5 •
SOUTH
State License No.
��3-0/ . -i✓/c - -77�j/
Ind. Ins. Acct. No.
RESIDENTIAL -COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
H471 eat
s2i 79 Aia "ft.
I hereby certify information submitted is correct and there are no other structures locate on this
as shown. property except
Owner or Aent Dat,
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS N T A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
"11(-1 DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
/Q/ _
Issued
Remarks
Building Permit
The zone is,
Receipt C ,3 rssued