1979, 05-17 Permit App: N3255 Residence Coun' of Spokane. Washinr rn
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMITS/ 00
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 e� u�/
Z4Name of Owner_' .(ACG FORMA? p Address ,_- Phone (2c" / l
Architect .. Address Phone
Engineer_ l Address i�.,�4
-1 Phone
Contractor WA y N Wi$dress. l4 o24 e Liteµ .7 .. +Phone q24—bS23
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number_2.5 S 4 .'3 —0311
1-o-r I! , BL.-oc.k 3 TtM$GR.L.ArN>, MINPirmitteiti _ —
DESCRIPTION OF WORK: New_X_____ Addition Remodel Moving Bldg.
ZonetI Fire Zone 3
Size of Lot _ 9o` x h o Sewage System ryl+,�,� Const. F µ�+
p j 4 I j p� (Fr., Con Br., etc.)
Storie Ls Dimensions .Z x 5? + Z x tp 4 3x1/ Total Sq. Ft.�8 G-.Z.iw Valuati
Rooms ( Baths 2 Basement Foundation Const.6014RE"�� Chi mneyl OrepIace
(Full, part, none) (Kind) (Number
Heat. SystemR�L C A Type of Roofing siimitE:S Ext. Finish .r".1!L Int. Wall Finish PAPAL-EL--
Use of Bldg. R,.E,.s/DENC.t.— GP RA iE_, uticiE .. ['Mole No. of Units Bedrooms 3
ROADWAY R/W WIDTH GD 4 AT IAC14E+D.
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.
4K 0111 FILA
Ind. Ins. Acct. No.
('.1 SIDENTIAd) COMMERCIAL
- I L S REQUIRED
161uP �_
Plumbing Permit
Zi•APPI° � $ Heating Permit
X51
R ��, Sewage Permit
vci
$1 Plans Received
Plans Checked
I Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
?/2
I h-rery ce tify informa "on submitted is correct and there are no other structures located on this property except
as shown. /. / .m
A AY qict-77
Owner or Agent Date
A LAND USE/.R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
01J MW' -Tr DO NOT WRITE BELOW THIS LINEA
Your street address will be S4 z80'7 1'1M.8EJZ.L.AWE p 'he zone isSIN4L gFAmiLy
Sewage Permit Number Issued _ Building Perm't Receipt en<5)7ssued _
Remarks — L �