1979, 06-27 Permit App: N3915 Repair Fire Damage Cou0 of Spokane, Washing'on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,
GENERAL REQUIREMENTS PERMIT FEE -Z3
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 cl9.2 /
Name of Owner_6 ao get E. PURJVIAh1 Address F. , 15 3 2_1 (JALLEYUkI/ Phone 8214— IJro
Architect " " AddressPhone
Engineer_ Address Phone
Contractor NOR.714 SIDE BUILDDR.S INC. Address N. 5r1oR AitAkiarr C7 )7 Phone 983 -61W
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number P4L$" 44-J 32
t< F 1J -1- W42, , Ez 6F- RL.oGk
DESCRIPTION OF WORK: New _ Addition. Remodel .k Moving Bldg. Zone / Fire Zone 3
Size of Lot _ 4/5" X 6.1.1-0 _ Sewage Sys L 4- .s fTIG. Const. E. M
(Fr., Concr., etc.)
Stories Dimensions . /( ')( 2-0 Total Sq. Ft. 320 Valuatio 3000
Rooms Baths MA BasementJQ1(E. Foundation Const. Gt3rLGJLfc�� Chimney Fireplace__Aa.
(Full, part, none) (Kind) (Number
Heat. System iv At Type of Roofing AA, Ext.Ext. Finish f/� Int. Wall Finish Nib
Use of Bldg. 14. }E'A►I21l a FIRE,p/ INA A4E. j - No. of Units Bedrooms 1�t
ROADWAY R/W WIDTH _ BARN -
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.
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Ind. Ins. Acct. No.
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PC/ T/?,./ $/T/'AIDENTI COMMERCIAL
® P-v,P PING Wrni grAU REQUIRED
1 ./AsF'-reAS N .14) M r#L
12-corPlumbing Permit
P-EPfi►2, SONA F1-ooR- V 01 S--As in Heating Permit
en
tit Sewage Permit
-1 -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH &/a�I "I g��� %'f'//2ZI
I here certify " ormation submitted is correct and there are no other structures located on this property except
as shown. _
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 WRITE BELOW THIS LINE
Your street address will be �. I5' 32. _The zone is AC-1121 CUI— i�(,j2�
Sewage Permit Number Issued__ _ Building Permi /V_3Gi 4 Receipt/03_7 Issued
Remarks _ —_