1979, 03-14 Permit App: N2226 Residence 7i - _
Cour'' of Spokane, Washing 'on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i. `
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
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.
4 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 mcs, ones 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 LINEName of Owner f ti/A._/d 1_1I-'L . Address_;$., 4 -..-• �� f Aez,z,t_ Phone '.Zii"-- fu -
Architect .. . AddressPhone
Engineer_ Address Phone _
Contractor_ >'.,(1/L1,Lk! Address, Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 7N s: . ..-,c-A,14- ,44-ii
- —
4.4 i /z) ,,t3,i 11: i4)oP„Y1S A`1D
DESCRIPTION OF WORK: Ngw )X _ Addition Remodel Moving Bldg. Zone ,/ Fire one 5
Size of Lot __,,:';'---3,,--51-9 k /..--L:‘,2 I Sewage System)J/j ."��/ Const.,..-. 14,4a----
(Fr., Conc., Br., etc.)
Stories_ Dimensions - t Total Sq. Ft./.2-1/e? gDDd
Valuation 4
Rooms -) Baths / Basement�4Foundation Const. L6 L-&- IJ e., Chimne /y ar iH1 4'F -ireplace ii- -'
(Full, part, none) (Kind) (Numb _
F
Heat. Syste Type of Ro fing 0„6-14 Ext. ,Fi ish Int. Wall Finish 10
Use of Bldg. L AZt Lf" `1 7si/_,-4 Lt ,a-6 E . No. of Units Bedrooms .;
ROADWAY R/W WIDTH c'7
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 State License No.
-- C,( (-)el , i,
Ind. Ins. Acct. No.
RESIDENTIljr- COMMERCIAL
REQUIRED
Plumbing Permit
m
in Heating Permit
vi y, Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
sou .
)
as show
I erery certify i rmation s 'm is correct and there are no other structures located on this property except
A h. �,
Owner or Agent Date
A LAND USE OR STRUCTURE ' ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
Rj . DO NOT WRITE BELOW THIS LINE y
Your street address will be
•e zone is eCljA440.< ./1.44C44_
Sewage Permit Number Issued_ Building Permit r Receipt 7 tv b'I Issued
Remarks •
Fort, 523 Bldg. Code
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