1978, 11-29 Permit App: N1568 DemolitionCou4 of Spokane, WashinOon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992604._J -�
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
Add ,s1
Name of Owner
Architect " Address
Address
et -s 4i Address
ress
Engineer_
Contractor i —%!tib? 1►/ ,G
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number /4— 1 — tiv -?
40-444114e qq;.Z64
Phone
''
/..2- 5-4
�
Phone
Phone
T ).t'7 //-,1:5-.1 —9q /J Phone /.ww =7 j
/L? 412 7 /U`
1:2rJ /i nDvj� 1. /Z
DESCRIPTION OF WORK: - New Addition
D�
g�
Stories_L. Dimensions Z-5—Nc'fO
i
Rooms Basement C
(Full, part, none)
Use of Bldg. 1.22
Heat. Syste Typ of Roofing
Size of Lot
ROADWAY R/W WIDTH
p(-7D�t
emo
/TY ,/?
1-424,
ovinCi / Fire one
Const.
Sewage System
(Fr., Conc., Br., etc.) D
Total Sq. Ft./Z).6) 0 Valuation
Chimney
(Kind) Fireplace
� g J
Ext. Finish 7
Foundation Const.
(Nu ber
i , i. Int. Wall Finish
No. of Units Bedrooms 1
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-
0em and water supply lines.
m
NORTH
I her
as shown.i
•
SOU H
itted is correct a
by c: t form
Owner or Agent
A LAND USE R STRUCTURE PERMI MUST B
THIS IS NOT A PERMIT. PERMITS ARE ` ON -RE
D. N
J
State License No.
D A/
Ind. Ins. Acct. No.
RESIDENTIALOMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Date
ON THE PREMISES BEFORE CO STRUCTION COMMENCES.
UNDABLE AND NON-TRANSFERAR
WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
s
Issued
e zone is r k4;� Ls .
Building Permit -J Receipt 9 9 Issued