1978, 12-12 Permit App: N1666 Residencey Y
Cou*y of Spokane, Washiroon
13UILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7("jo-0-0
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 LINEal
Name of Owner_
Address 11,&e.2 --5
Architect .
Address___
Engineer_
Address
Contractor Vii/ A
Address.
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Phone -
Phone
Phone _
Phone
Parcel Number-
9
4
DESCRIPTION 9f WORK- New __ Addition. Remodel Moving Bid Zone _.1 Fire one `?
Size of Lot af�i Sewage System ;�� '�Const..,�i} Br., et -
j Fr., Conc., Br., etc.)
Storie&�" Dimensions — Total Sq. Ft-/ ULZVaalluvation �3
Rooms. Baths Basement- —Foundation Const. C� �- r+_. /i Chimney Fir4ace v� �
(Full, part, none (Kind) (Number
Heat. System Type f Roofing %JExt. Finish Int. Wall Finish
Use of Bldg. ��+ /� ��s�!s�L?1 U _ 1dC. r No. of Units Bedrooms
ROADWAY R/W WI
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
9 NORTH E
M — /f 9
04,
(3) location of
(6) location of
RESIDENTI; L - COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce tfy nformation submitted is correct and there are no other structures located on this property except
as shown.
_ _ z-iz-
Owner or Agent Date
A LAN 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.111
Your street address will be, , �� The zone is G
Sewage Permit Number Issued _ Building Permit Receipt L�Issued
Remarks ------- -------------
I
Ams
)"
. 'LU
4,71 pi
F/O 0 /? - /41V2
9