1978, 11-27 Permit App: N1519 Remodel Cour of Spokane, Washinfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
Ile
GENERAL REQUIREMENTS PERMIT FEE-25-
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 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 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.C nt?SOfficials can not brine .ction to enforce covenants or dedications.
P ICANT FILL IN BELOW THI II - 9K,776, f
Name of Owner / /46/ /. /� Address/—-2// /-//1_. Phone � ��C/ ,/
Architect . / _ AddressPhone
Engineer_ // Address Phone
Contractor / Address _ / Ph9ne__
Legal .•scriptiono roperty (Give . plete description fro �eceipetc.) P Numb: _
_ /D ' 1 // , / Lze2,
Jii,
DESCRIPTION OF WORK: NewAddition Remodel Moving Bldg. Zon / Fire."). _
Size of Lot _ 44x �� Sewage Syste Const. /�� �
/L !///L Fr., Conc., r. tel
Stories L Dimensions C -Total Sq. Ft. ValuationAillv- �Z `
Rooms.------- Baths-� Basement Foundation Co t. �����--- -- Chimney Fireplace_
I, part, none) -, (Kind) �� (Number
Heat. Sys em.� .-//L, ypepf Roofin. t.,..,..-iit/f'J Ext. `Lsh 1 _�I✓_ , Int. Wall Finish
Use of Bldg. _ _/,�O�,. /.r ii / / 4i ���f/'• .. / .N+. of Units Bedro s
R• •-• -,` R/W WIDTH I i/.' I A rti/�_ 7�1 .L ,. .J - i
/ /
PLOT PLAN
•raw 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.
-QAi i[/ 9. j%/i/� (frix/J/� Ind. Ins. Acct. No.
.Z#Z 49/el '
�,�""_" C� �(Li-1W RESIDENTIAL - COMMERCIAL
/ 4l��X9 REQUIRED
Plumbing Permit
m Heating Permit
m 10
us w Sewage Permit
-a —I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb ,i •r fy informs 'on submit is correct and there are no other structures located on tth+is property except
ass wn. _ f. 1 / a
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 :RITE B �OWW�THIS LINE /J
Your street address will be 1.32//* L., � z=GC�`// _/ /� •e zone s 15 0 (/�/
Sewage Permit Number Issued _ ,_ Building Permitl. / Receipt �- � Issue`
Remarks HW/ _ e
Hr