1979, 06-29 Permit App: N3989 Residence I_
Coupi of Spokane, Washirt 4.on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT oa
GENERAL REQUIREMENTS PERMIT FEE (IO '
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 performed 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 3'rn On /lie p i 1.5 Prz;rn C Address 9�i/J G .9,02•,40/4-ePhone �7 L-
Architect . _ Address _ Phone
Engineer_ Address Phone
Contractor Address Phone
Legal Descrip ion of Property Give corn. ete description om deed tax receipt, etc.) Parcel Number_PTN OF 32,545 `?o 3
DESCRIPTION OF WORK: New
_ Addition Remodel Moving Bldg. Zone I Fire Zone c3'
Size of Lot _l £ 0 1 Ga 0=— Sewage System Se,Oor) Const. -
(Fr., Conc., Br., etc.)
Stories... Dimensions .
ex, l Total Sq. Ft.2 Valuation
Baths /i CY k ��4+. • Fireplace__
Rooms -�— Basement a�� Foundation Const. `- U � - Chimney
(Full, part, nond) 4 (Kind) (Nu er
F, 1;
Heat. System A. . Type of Roofing >^ a IC .g Ext. Finish is)Q n d, Int. Wall Finish S h
Use of Bldg. a. i - :f• . ■ �C i � _ No. of Units Bedrooms
ROADWAY R/W WIDTH &ath0 f NO PEGKS
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.
ai-.N Fair—
Ind. Ins. Acct. No.
6-21-793a ��p``A4y'
Ct' IDENTI�L COMMERCIALe�
REQUIRED
(.-4 _ a Plumbing Permit
Heating Permit
�+ a
Sewage Permit
Plans Received
Plans Checked
Plans Returned --__
Plans Picked Up
Plans Mailed
SOUTH
I hereby certi nformation su miffed is correct and there are no other structures located on this property except
as shown. J(NE' 2.9 7#77
Owner or Ag 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
y%.) M4i(3-p `) DO NOT WRITE BELOW THIS LINE
Your street address will be -Z(?S OLIN�Ej� LAN_) P 1 _The zone is R., ICI4I t&
Sewage Permit Number_ ___ Issued_ Building Permit -14($ Receipt SOS?, Issued
Remarks
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