1978, 11-06 Permit App: N1330 ResidenceConey of Spokane. Washilon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 Owner a
Architect
Engineer_
Contractor ,'YY4-k ,
Lecyal Description of Property (Give complete description from deed, tax rec pt, etc.) Parcel Number
/&..rtf� --0 Zi�U. V— /6.&--1/Q._. c
/
Addressi...1_
Address__
Address
Address
C)6 Phone 7cV �� y
Phone
Phone
Phone
o
DESCRIPTION OF WORK: New_ Addition Remodel Moving Bldg. Zone r / Fire Zone
ia_ejL i Sewage System ty 0FConst. : r., etc.)
Size of Lot�'1 rvy'
/ /V y X.." 1-- 4 / �' r/%� / S/ /7---2/ �' X W Total Sq. Ft c..-.101/ Valuati.n .._•61c1)640
Stories� Dimensions ,
Rooms Baths Basement / oundation Const. ( )'l.tA-.17J Chimney ' place
(Full, part, nonJ (Kind) � (Number
Heat. System EF/4 ype of oofing Ext. Finish d� Int. Wall Finish
Use of Bld�i2t fi • 1-24.1/7_./%''.�
�+z.tJ No. of Units Bedrooms
ROADWAY R/W WIDTH
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.
Ind. Ins. Acct. No.
Plumbing Permit
m Heating Permit 1�
Sewage Permit c 1J�L1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
OMMERCIAL
ED
J
SOUTH
I hereby certif inforyLtion submi ted is cq%rect and there are no pthe structures located on this property except
't
ner or Agent / / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
0itti 72 1,14Q, DO NOT WRITE BELOW THIS LINE Q
�-f The zone is a.1
Your street address will be e /0 d -?
Sewage Permit Number Issued
Building Permit Receipt ff 7 Issued
Remarks
•
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900542. /
SepT,c 7/4/.4,