1978, 11-06 Permit App: N1329 Residence0/
Court of Spokane, Washilvton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEEk
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
Architect _
Engineer
Contractor Vael12 -
Le aI Description of Property (Give complete description from deed, tax receipt, e .1
Address_
Address
Address
Address
Parcel Number
Phone 9 - TS1 2---�
Phone
Phone
Phone •
-1W7 0
DESCRIPTION OF WORK: New )( Addition Remodel
Size of Lot %`lk-lee L ✓"
Storiec /, Dimen on . - ' f� lx /'�a'�
Rooms Ce Baths Basement •.undationConst.
(Full, part, no
Moving Bldg. Zone
Sewage System —�
1
f
�S Total Sq. Ft. /77y
el rr"u%K.0 f Chimnex 'Q
� ,
x
Heat. System 5r ype Roofing t` Ext. Finish
Use of Bldg.`/J'/_' .G(�i7J
ROADWAY R/W WI"JTH �/�J�
Fire
onst.
Fr., C L
Valuation
Fireplace
( Number
c.)
Int. Wall Fi
sh
No. of Units/ Bedroom
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.
m
to
NORTH
h reby certify informa
asiie �LT/.✓.
Owner or Agent
SOUTH
submitted is corr ct and there
LOo
State License No.
Ina. Ins. Acct. No.
RESIDENTIAL - i OMMERCIAL
R
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located
0 1/
Date
on this property except
4 A LAND USE OR STRUCTURE PERM'(T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
eLJ4 DO NOT WRITE BELOW THIS LINE
f,
Your street address will be Li v g 01 _- .A...1214-" ae-S C.
Sewage Permit Number_ _ Issued Building PermitA / -- -' /Receipt g if 76 Issued
Remarks
e zone is .f/ s /.t- - ra.44%✓`