1978, 12-11 Permit App: N1660 Chimney Count of Spokane. Washin n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE_ .�z),'�
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
/LINENa 'Gj'37 e c� /
-/-e Y / Address Si eZ(7 1/ 1— �� �r• Phone qab'/5
Name of Owner/4/� � � �C71J AiG� � J! _ 1.
Architect . - Address _ Phone _-
Engineer_ - Address Phone
Contractor xtlYl� Address Phone
Legal Description of Proper y Give complete description from deed, tax receipt, etc.) Parcel Numbers .5 5 /S•-D/b
/: '
3 i _ A iii - —
DESCRIPTION OF WpRK: News x _ Addition Remodel Moving Bldg. Zone / FirreerZonLe
Size of Lot _/_4OX I30 _— Sewage Sysremi 5 k rr�onstGS l►Ine
IFr., Conc. Br., etc.)
i t y I
Stories._ Dimensions�/ . 3 A 7 A 31+QGid �_ ��11 Total Sq. Ft. Valuation��
Rooms✓VA Baths/VA- Basement / Foundation Const. (;,i1CcCfe. Chimney 5' Fireplace
(Full, part, none) ( ind) (Number
Heat. System Type of Roofing Ext. Finish/ Int. Wall Finish /��
Use of Bldg c�zt it aZ //IalSD//1 r y��j1�111P.t� fior i.1S#4/l4440A Df No. of Units Bedrooms /Y
ROADWAY R/W WIDT ►'��`S7�thdilt pmd ftin/Q•
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 Stato License No.
tti
Ind. Ins. Acct. No.
/ RESIDENTIAL COMMERCIAL
/
RE. I RED
U — Plumbing Permit
m Heating Permit
to H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify 24 . .ati,:n submitted is -orre d the • are no other structures located on this property except
as shown -- 7
0•ner 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
/ a DO �NOT WRITE BELOW THIS LINE 6
Your street address will be ..p %9 0 !f//j�� &lei-- 4k, .1_The zone is o? 1 /?9• A-
Sewage Permit Number Issued Building Permit Receipt 3V-5'.9 Issued
Remarks
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