1979, 06-25 Permit App: N3822 Addition•
Come/ of Spokane. Washint n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 cif 17
0-0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 . c 2_p6
Name of Owner rplOAR,D 5{ hF
Architect
Engineer_
Contractor
Address 22_1/ N G(100D RUQ Phone 12C-7,Pcff2
Address Phone
Address
Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
-1- 7 : to 6. L DD
0
a"RC1 ,.
Phone
Phone
7 5341 - Irrz.
DESCRIPTION OF WORK: New fl5 y w�Addditionx Remodel
Size of Lot - x /4 t- -Kit_,`
Moving
Sewage System
Bldg. Zone 1 Fire Zone -
Const.A
(Fr., Conc., Br., etc.)
Stories 1 Dimensions j2` X 27 t Total Sq. Ft- _ Valuation't5OO10(
Rooms— Baths NA_ Basement Wft/E
(Full, part, none)
Heat. System Type of Roofing .RkfiL-T-we
Foundation Const.
Use of Bldg. A
ROADWAY R/W WIDTH
:UNC RE iEi
Chimney Fireplace
(Kind) (Number
Ext. Finish Int. Wall Finish DIeL f kL�.Lh.
No. of Units_ Bedrooms Mk
oxisR.i I c�
ANDD AV-1it'r+ oin) o -F - 6, r t R - R�
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
iT...1
54.i
iys '/2/L_
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h
PROPosEV
R iPENcE.
pexpocgo
--:,4 Atac,►-riort
SOUTH
State License No.
f9WN tqa-
Ind. Ins. Acct. No.
NT - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
O )0,
Sewage Permit
Plans Received
Plans Checked 0 iC
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cArtify infor .tio ubmitted is correct and there are no other structures located on this property except
as shown.,
•JfjNIF 2-57/Y7?
Owner or .Y nt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
DO NOT WRITE BELOW THIS LINE
Your street address will be /Y 1,41 001) _The zone is AGiQICU."'�t/igifl- —.s -u
Sewage Permit Number Issued Building Permit—34699Receipt Issued
Remarks Z`
Form 523. Code