1979, 01-26 Permit App: N1878 RemodelCour► of Spokane, Washinoon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERM i 00
GENERAL REQUIREMENTS PERMIT FEE.._-.-
RMIT 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
structure already erected, or to change a land use. Construction must conform with the Spokane County Building Code and Zoning Ordinance. Con -
action must have inspections.
\TER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs the surface, shoulders
fitches of County Roads, permission must be obtained from the County Engineer's Office.
WAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47-235.
T -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line is required. See current
Dkane County Zoning Ordinance for all required set -backs.
ATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress and egress.
1UNTY ROADS. Work on street right-of-way may not be performea until staked by County Road Department and work must be performed in accordance
h stakes. Points of ingress and egress must be approved by the County Engineer.
DVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State Highway, clearance must
obtained from the County Engineer and/or State Highway Department.
.CESSORY BUILDINGS. Accessory building (garages, sheds, etc.) require a separate permit.
'sSTRICfIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land which are enforceable
rough civil action. County Officials can not bring action to enforce covenants or dedications.
1 w APPLICANT FILL IN BELOW THIS LINE WsP�NF., 11206me of Owner. , ,Q,
_SEUX A. 4zdig, Address E . JJ 0 sty NPO'" Phone .12 f 79Z,
chitect . Address__- Phone
gineer-Address __ 2t)(d Phone
ntractor .(tmiQ—. RG Addressr. PP'hone .!j —*7r Z
gal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number- �' 3!&574A '01/2..
SCRIPTION OF WORK: New Addition Remodel X_ Moving ��� Bldg. Zone _- Fire Zone _
!e of Lot — " „may l x Ia l(f tom—.- Sewage SysS'�fR�5. ConsConc., Br., etch
3,600
>ries Dimensi ns �S�i� �q � �..��.T+otal Sq. Ft.— Valuation
oms'3 Baths Basement 1 Foundation Const. C �i R . Chimney Fireplace
(Full, part, none) ( (Number
at. a Type of Roofing Ext. Finish Int. Wall Finish �(rl�ArL
e of Bldg. �%w �AIcS~i�//�%��r Mq7, _ No. of Unites Bedrooms MA
)ADWAY R/W WID
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
NORTH
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SOUTH
State License No.
b
Ino. Ins. Acct. No.
IDENTI - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
4A Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby/cQr y 1nff atio�rysubmit is correct and there are no other structures located on this property except
shown. if /
J Owner or Agent V 0 Date
1 LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
'HIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
ur street address will be a zone a`'i���. 1 LV 9E_11L
wage Permit Number _ Issued Building Permit ReceiptIssued l
marks
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