1979, 04-20 Permit App: N2835 ResidenceCoup of Spokane, Washinepn
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
r
GENERAL REQUIREMENTS PERMIT FEE ! y�
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
ete
Name of Owner,_ S'%'i' CFj,t, } r c Jon/ Address L� cPhone i 2 ' `1)2_
Architect -
Engineer_
Contractor
Address Phone
Address Phone
25;1/34L-7 Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Pr" ct= c9c-e- y - it 2 J
DESCRIPTION OF WORK: New J/ Addition Remodel Moving
Size of Lot le}% 47 LZS(.2 3 ' X FY_ 72 ' ,%S. F2' Sewage System
i
Storie i:—Dimensions-2-VX 3 (1 X/C 2/-C,c II • C7/�r'idfli ilk:117026 �✓ 1 � � � � Total Sq
Rooms
✓ Baths Basement Foun ation Const_
(Full, part, none
Heat. System F194 Type of Roofipg (L= /;1 p Ext. Finish 7-11/
Use of Bldg. /ft: i/e171/C&— (/ /jf tK .i{Jr T.4Cy,D
ROADWAY R/W WIDTH *c:Cd
Bldg. Zone / Fire Zone -�
3[7'onst.r.,
(FCo Br., etc.
nc
. Ft. X3r Valuation 342 C,Ou
Chimney Fireplace
(Kind) (Number
Int. Wall Finish
No. 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.
✓z"
NORTH
Jam. cv '
it
`t 7
4--
gy 722_
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. -� /
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Pia s aile
7fg-7/1 —5/1M
i
`�''jz•r/ - r' �'L',
Owner or Agent
71
Date
7,
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
€ -fl " DO NOT WRITE BE OW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued
zone At2- -
Building Permit Receipt Issued
C(35,