1978, 09-12 Permit App: M0526 Residence Cour w y of Spokane. Washin 'con
wart
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
L3 CJ
APPLICATION FOR LAND USE OR STRUCTURE PERMIT T7
G&NERAL REQUIREMENTS PERMIT FEE
PERNiff 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 strultture already erected, or to change a land use. Construction must conform with the Spokane County Building Code and Zoning Ordinance. Con-
structiok 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
bp 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/l/ THIS LINE
Name of Owner A LL�r - 1✓" Address JIE'-�Y ii — Phone(4 7—O 3 �3
Address_f ' Phone
Architect . \ �/'
Engineer_ p Address d p Phone
Contractor 7/�� Address, / D .�0 �� Phone
Lega escription of Property (Give completedescriptionfromtax re eipt, etc.) Parcel Number q 5 .4/1/ - 6 .3l ((j
DESCRIPTION OF WORK: New Addition. Remodel Moving Bldg. Zone / Fire Z ne -
Size of Lot I 0 S x I 0 — Sewage System —� Const.
Stories Dimensions .r2-C� ./(� g� 1---0-`1_,::-.12.29-- 1- /0 X f 2-rotal Sq. Ft.OZ ValuationOr:,,etc;)
>
Rooms / Baths,.. Basement S. Foundation Const.(~. A/c &-C 12— Chimney Fireplace /e-�
(Full, part, none V (Kind) (Number
Heat. System��i� Type of Roofing 0-� Ext. Finish �f( Int. Wall Finish
Use of Bldg. _p��--c-tt,-,-� ��v4.gcu� 4'�_- GC�-c c2-4/—_____,,_ No. of Units Bedr oms 3
ROADWAY R/W WIDTH //_ 1 t1-c.--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-
tem and water supply lines.
NORTH �,5 at- License No.
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Ind. Ins. Acct. No.
dL --- tRESIDENTIAL - "•MMERCCIIAL �ZQ
REQUIRED C/g '
Plumbing Permit
,� /' n+ Heating Permit
,iit -
cn N Sewage Permit` Plans Received
`,` Plans Checked
Plans Returned
Plans Picke• p
l� C�� j
//3 PlansM:' ed
SOUTH k �� i
reb_y rti mformati• •mi'ted i-, c•rr-et . • "here are no other structures located on this (property except
1,64_
frii-
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
DO NOT RITE BELOW THIS LINE
r `
Your street address will be Ib /
a l'Y` _The zone is i-
Sewage Permit Number Issued /
_ Building Permif/ Receipt - �r-i__ .sued
Remarks — / — —
torn, 523 Bldy. Code
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