1979, 06-29 Permit App: N3909 Residence V fiP '" i --144`
Court'' • of Spokane, Washin( - 2n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7�
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 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 1QP�pt! l g�iivt i Address C/ /-5/5//4 Phone 9 P 6d9/
Architect .. Address Phone
Engineer_ Address Phone
Contractor SG( ?jj P Address Phone /J t
Legal Description of Property IGive complete description from deed, tax receipt, etc.) Parcel Number ,2J VL?ed/ 64244:' _4
Mire
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone t Fire _
Zone i
Size of Lot 41,4*d j l'j4 A.2_,41 Sewage Sewage System S4t' ' Const. ide Me
(Fr., Conc., Br., etc.)
Stories. Dimensions „�l.rS�J d 2Xi,-, , &adnate liG�'.. / Total Sq. Ft...2If a Valuation deer
Rooms 7 Baths Z- Basement �f(1�. Foundation Const.—erh.f'&'4 Chimney Fireplace_L—
(Full, part, none) (Kind) (Number
Heat. SystemF4 PA.rogir Type of Roofing s`1/iter �y Ext. Finish ct504YtJ`R- •"fiL�f't46t. Wall Finish PAyeaf.t .
Use of Bldg. Kr:, Keith.P ,i �[/!O - (437 '4 -C No. of Units/ Bedrooms
ROADWAY R/W WIDTH ___.(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 /j� State License No.
V -, ,-
--- 3-/-'ij Inn. Ins. Acct. No.
s J 000
h RESIDENTIAJ.'- COMMERCIAL
Gp
el „I .id REQUIRED
* *
S.c Plumbing Permit Mie'1'i4
7: ()on Heating Permit /1-i
T
to �, H Sewage Permit X7e1 jde?L
� -I
- " Plans Received
* Plans Checked
, \ / . — . Plans Returned
i
�._ 'n1� Plans Picked Up
Plans Mailed
'.+
SOUTH
I hergby_aprtify information submitted is correct and there are no other structures located on this property except
as shown =-
. `
41:
Owner,/or Agent Date
A LAND US R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
("AA-' iii:',1/C' DO NOT WRITE BELOW THIS LINE
Your street address will be i ��� �����L�J— (t �`.;7t ' _The zone is j',!;L .P..f4:244C-Je2.1-''
Sewage Permit Number Issued_ Building Permit -5CjT\ Receipts G17q Issued
Remarks
Gnr., S'YI RIA., r,,,t,