1978, 09-25 Permit App: N0755 Residence•Cour of Spokane, Washin fpn
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT %F
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
99.2/
Name of Owner_
Architect
Engineer
Contractor
. Address c.
Address
Address
Address /•
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Numbe
�'
Phone 9. 8--49/Z,
Phone
Phone
hone
DESCRIPTION OF WORK: New____ Addition .�._ Remodel _T
Size of Lot Qr—/&d- S— GO • /a % fli. / 3
f
Stories Dimensions
Rooms Baths/ Basement
-Full, part, none)
Moving BI Zone / Fire one3
Sewage System onst.
i (Fr., Conc., Br., etc.) e0
otal Sq. Ft.///(Kind) A8 y�(ution c�d €iW —
▪ Chimney / eplace-444-S�u�
(Nu ber
.� LE
Int. Wall Finish h)'
No. of Units Bedrooms Q.
Heat. System
Use of Bldg.
ROADWAY R/W WIDTH .-rd
Type of
Foundation Const
oofing
xt. Finish
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.
m
NORTH
-4
I her
as shown.
SOUTH
by certi
witted is correct and
Owner or Agen Date
poT
there are no other
State License No.
tFO-NN-4l3L3 -a g.-274/2
Ind. Ins. Acct. No.
• 4
RESIDENTI
7
- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property ex pt
A LAND U STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
41DO NOT WRITE BELOW THIS LINE
Your street address will be � /..3
Sewage Permit Number Issued
• Remarks
4
The zone is
Building Permit
•
% ! Receipt '/(o 7 Issued
• r 7c5
Form 523 Bldy. Code
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BIERS
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SpOkarie Washington 99216 LOT SIZE 14
PARCEL # iPA t41/ - qiiiir
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