1979, 03-27 Permit App: N2552 ResidenceCow. of Spokane, Washin4pon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 69, C U
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 . r any b
or structure already erected, or to change a land use. Construction must conform with the Spokane County Building Code and Z. . g 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 Own : ! Address
Architect . Address
Engineer /Address
Contractor 4% FA�7� Address
Legal •scri. 'on of Property (Gi . comple escription from deed, receipt, etc.) Parcel Number,//? l ` o f
�,,i,a' op` 9,, Y
Phone
Phone
Phone
Phone
DESCRIPTION OF WORK: New Addition Remodel Moving Bld . Zone l Fire Zoe L3
Size of Lot _/ / ��� Sewage System�s{�J7—
Con r., etc.)
Stories Dimensions ,3o r4(a. 7 Total Sq. Ft? 6oValuation e�6
5 Basemen F• ndation Const.�j'YJr Chimney Fireplace
/ Full, part, n n (Kmd) (Number
Rooms L Bats
AI"
ii G Type of Roofing ' /.;ii. Ext. Finish-.II47^t J Int. Wall Finish dr/ t. _
At /Af A* ,,, ` _ No. of Units Bed • •ms
Heat. Syste
Use of Bldg.
ROADWAY R/W WIDT
PLOT PLAN
Draw sketch with dimensions showing: (1) prriperty 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.
m
to
NORTH
fat
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby c%tify information submittgd is correct and there are no other structures located on this property except
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PE
THIS IS NOT A PERMIT. PERMITS
Date
IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
RE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRI E B OLIN THIS LINE x,551/
7- 7?
Your street address will be , r Y/6
Sewage Permit umber Issued 7
Remarks /✓G A
uilding Per t/
!1
_The zone is
O/r!o/aecei 2ssued
moo' ...54‘9
ar'
414.- --•--
A -rte