1979, 06-29 Permit App: N4001 Residence Cow,j of Spokane, Washin on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE Cj KX
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
Name of Owner 3-"hi n� !tr iep lOi cC T bJ(Address 9 4'// jA.f Phone 7)44.2-7
Architect . _ Address Phone
Engineer_ Address Phone
Contractor Address Phone
Legal Description of Property (Give co plete description from deed, tax receipt, etc.) Parcel Number. pm! OF 35'6 Y3-0606
®` - - i 3 fac' - 2._ 1/6.11,ci 2tCJc co.i Get.. b 1Lir', ssciN .�
DESCRIPTION OF WORK: New_X_ Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot _ ec K /3 6__ Sewage System 54V/hi: Const:� �-
(Fr., Conc., r., etc.)
Stories I Dimensions 9-"/X VC) -fr )8 ' )S Z'f Total Sq. Ft. I9 0 Valuation ire
Rooms 7 Baths_L Basement QGA--� Foundation Const. eZ)"t Lk-a-,IP, Chimney CI ireplac`e��
(Full, part, nonAT ,p (Kind) (Numper
Heat. System �. B Type of Roofing 235- enslJit9 Ext. Finish fiJt.ttd., Int. Wall Finish .Gh 6' td.-,, ,,
Use of Bldg. - tet a-n c..._a. --_gAAAGe U(/VDI -I L NO_pEc.k s S No. of Unit `3
�Bedrooms
ROADWAY R/W WIDTH A-0 I
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 State License No.
OK ONI FIL.
Ina. Ins, Acct. No.
���r 6 -2+ 4761 3o PAy G r dcE.
L- COMMERCIAL
Sa REQUIRED
Plumbing Permit
rn
t p L m Heating Permit
ut
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
a- Ai'
SOUTH
I hereby cer " inform ion submitted is correct and there are no other structures located on this property except
as shown.
Jt1NE 29 /97''
Owner or Age t Date
A LAND USE OR STRUCTUR ERMIT MUS BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
>�iv N1,14 epo DO NOT WRITE BELOW THIS LINE
Your street address will be _Nr_ SOO8 'ZEES AOAD _'he zone is cY!N64.F I�A'IU►I Ly 'LES
Sewage Permit Number __ Issued ___ — Building Permit AI-4f61 Receipt ,50$2 Issued
Remarks _ _ _
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