1979, 02-13 Permit App: N1965 Residence .10
;,'` ,, Cour ] of Spokane. Washin,ion
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT eV
GENERAL REQUIREMENTS PERMIT FEE list)
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 Owne Address'4 %. A.. /' l{ r. _ Phone 1j/6 to - 0-1
Architect . _ AddressF907ate . Phone
Engineer Address Phone ___
Contractor ,y,04' 1 1 Address Phone
Legal Description of Proper Give complete de • ipti.n from deed, tax ec N�etc.) Parcel N�uAmber__/// S,.S L�// — O/dc 3
44
lte
DESCRIPTION OF WORK: New " _ Addition Remodel Moving BI . Zone Fire ne
Size of Lot — /E)V 07 -Ac-. -3 L-7 , Sewage System r�} Const
c., Br., etc.)
Stories Dimensions . 0 Total Sq. Ft,/ 9' '- Valuation's 77 477
Rooms 7 Baths X Basement F. ndation Const. �o'4J4. ,i '.. ' Chimney-'v Fire ce <2......(Full, part, no/ / (Kind) (Number
Heat. System_, ...1, Type o Roofinic 0 ..04-1—, Ext. Finish 7-1.-g( Int. Wall Finish
No. of Units Bedroo
, __. rt
Use of Bldg. ��� Q1�Q4Z!`L/ it .
ROADWAY R/W WIDT•
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.
y State License No.
. Vey^."J
Go- 0/ Ino. Ins. Acct. No.
VD
RESIDENTIAL- COMMERCIAL
)L. REQUIRED
i id ,1 Plumbing Permit.
cla ,t
1 Heating Permit g- (�
i o y, R Sewage Permit
el--y 1 . a \--...-----\,)(�
rtf �y Plans Received
1 w Plans Checked
SJ 1 . Plans Returned
CCCwvv Plans Picked Up
o Plans Mailed
S1,1:14-14
- certify information submitted is correct and there are no other structures located on this property except
N
as show _ -
- - ''• —
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
DOOT WRITE BELLL THIS /
r
/
Your street address will be /I - / , / �i I/, - e zone i- `.I[�.�/ tied
Sewage Permit Number Issued _ Building Permit 4 Rec•ipt lzu1 Id edEllt
Remarks ——
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3 7 1 -fir a a, /9-74