1979, 06-26 Permit App: N3892 Residence 41
Cou' y of Spokane, Washir ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 _
1 -i
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /a
GENERAL REQUIREMENTS PERMIT FEE r
1 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 11
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 performea 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 BTJILDINGS. 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 a_d-4.4,2414792/0
Name of Owners,ei{I-A I, Address r,, ,)71.E 7 /!s, -41'L riL.t,L Phone ti'5-3 -- , 7 4.:
Architect .. Address . Phone ___
Engineer_ Address Phone _ ___
Contractort r..4eX. . Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number -:.-4,..5%.71/—e„?.//
tet;T- // f3.L..fC. _ ), ..7 1,.,,✓ ,/'-.LT $ l " , ( , 1 i -
DESCRIPTION OF WORK: New /4.4cii' Addition `,Remodel Moving Bldg Zone _/ Fire Zone S
Size of Lot - �� ( .— `=12t-''111-f- to j Sewage System a.JG Const.
-:,&'' t?a
At? ,
o (Fr., Conc., Br., etc.) dO
Stories- .0Dimensions ''`'Z k44 + -' X 1. ' '%'(wi=-q2��4L2�(�.. Total Sq. Ft..2 41Valu tion 6. o0LJ"�
Rooms Baths .z Basement ttp� .Foundation Const. C.0 .�/ Chimney ii Fir4lacel' 1
(Full, part, none) ) , (Kind) (Nuhm er
Heat. System('k Iii,FA Type of Roofing _ ,, ',.' . , Ext. F,jnish 1 Int. Wall Finish _b_ �.
Use of Bldg. itPA/,tf ,-C.l --, " Jzt, a q. ' il.,,r..i -,+. �p��. (,,4. No. of Units Bedrooms 4
ROADWAY R/W WIDTH 5D/
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.
NORTHState License No.
r
Ind. Ins. Acct. No.
411... a2 ' - Pi.. ..r61a4t/ _
RESIDENTIAL- COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
m
viw Sewage Permit
-I —r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property.except
as shown.
41..,P. -... `7:"
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,,.. _a 4, -.2G- 79
Owner or Ages Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE ANb NON-TRANSFERABLE
(9A4 f DO NOT WRITE BELOW THIS LINE' el,�
Your street address will be _4 ' / '',r„ _ ie zone 1s',. ti ...7.dyL.--44 .
ciewage Permit Number Issued_ Building Permit F Receipt A 7 Issued
(Remarks S ,2W TC(K44j6p _fes 2�-�9 1
Form 523 Bldg. Code
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