1979, 06-29 Permit App: N3999 Residence Count-- of Spokane. Washing' nn
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE '7''
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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.
A CESSORY BUILDINGS.Accessory building(garages,sheds,etc.)require a separate permit.
STRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land which are enforceable
t rough civil action.County Officials can not bring action to enforce covenants or dedications.
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APPLICANT FILL IN BELOW THIS LINE 9'y 7,42
Name of Owner__ Address
S `'t-'- eson . Address 11123 E. 3Otn _ Phone�'•,1514 11
Architect . Address - Phone __
Engineer_ Address Phone _
Contractor i-Uc1 tip. .o i.Pa'iY Address s=-':e At Phone S {=e
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number- `-�"'
P P Y P P P ,3 VG"r' .(
1,ot 2 :_lock 1 iTend ickson Addition
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DESCRIPTION OF WORK: New X Addition. - Remodel Moving Bldg. Zone / Fire Zone
Size of Lot _ a37413 6 — Sewage System Septiconst. Far
(Fr., Cone., Br., etc.)
Stories 1 Dimensions 26x40, 2ix 2 Ear• Total Sq. Ft. l60C Valuation 53 O nd /
Rooms 5 Baths 1 Basement fill Foundation Const. ConC Chimney `'.tl Fireplace l
(Full, part, none) (Kind) (Number
Heat. System "" Type of Roofing 'Cmp Ext. Finish-1-11 Int. Wall Finish D/W
5in"le es-Loe,.t .al ,
Use of Bldg. / ., , ., ___' . No. of Units Bedrooms o2,
ROADWAY R/W WIDTH 5 0
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 watsupply lines.
NORTH State License No.
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—E—LT—AC-242J0
Ina. Ins. Acct. No.
-. taC: ed ESIDENTI OMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
m
VA
m tit Sewage Permit
-I -1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 7/;/7
I hereby certit of rma"t�ion submitted is ' orrect and there are no other structures located on this property except
as shown. ^` /
Y� --- fir'. -�'7,Ce -�' - -- ( ' 7- `1 7
Owpar"or Agent Date
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
DO NOT WRITE BELOW THIS LINE
Your street address will be /6"-- 77, /eThe zone is I A-4
Sewage Permit Number -__ Issued _ Building Permit iv_3q°(C(, Receipt 5 .Issued
Remarks
Form 523 Bidy. Code \
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