1979, 06-14 Permit App: N3702 Repair Fire Damage Cou' y of Spokane, Washir "on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 ii
C l�
APPLICATION FOR LAND USE OR STRUCTURE PERMIT e2---
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 y > ' At'4i _gq,2„p6
Name of Owner.6�./_. t �. .y/t LJApXa _ Address v '7v� 1 %/.tJ. a-';de . Phone ijZ — /97R,g.
Architect . Address . Phone
Engineer_ .� • Address Phone
Contractor ,t,, , 12 �Iti `QC..._,(.7124x./ Address.429/Cp /ir ,�i Cti?lc.C'Ls &7 ,`\Phone 7 T.' f/?L,.
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number •�#�.J3 4-- /4).Z '
,� —
_ •
, ♦ 1. s T _ ', i,C.A / / 1' ./ . It A i . 'c4 . ,
DESCRIPTION OF WORK: New Addition. Remodel )C Moving Bldg.,,Zone / Fire lone:9
Size of Lot S.'6 X /.41O Sewage System „/,/dt, Const. -te-I€14/1-..e_
•
• / (Fr., Conc., Br., etc.) j
Stories ,/ Dimensions /67 X/z' T D RF,' / P�_--y Total Sq. Ft./of Valuation.��/9 taO
Rooms . Baths Basement Foundation Const. .---/i.”4,1-' Chimney _ Fireplace—
A)
ire lace_�A
• ,/ (Full, part, none . Kind) p (Number
Heat. SystenlY;CXJ 54 Type of Roofing ,G4G Ext. Finish &LZZ”' Int. Wall Finish gii../
Use of Bldg. �i�DFititf' 7A.,4.(_i
OA FQLI-i ;i (, "r'.Pj,_ No. of Units Bedrooms
ROADWAY R/W WIDTH — —
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.
223-6/— a4-N. -R. •t- ,, N:z=
rry� Ind. Ins. Acct. No.
J �-..l4ei .00par al Sf _ IV-
1
1
# ESIDENT - COMMERCIAL
` e.142 7 '`.- ---6"6t4— i •
REQUIRED
PA—PA--'" `/`" �J'Q, ,1 _ Plumbing Permit
/ �T•�a`�'�— m Heating Permit
to fr', ,P,„„ /-- 6 '62'� La Sewage Permit
A C --}} t4/14^Gu-.� Plans Received
Plansnits_BedChecked
Plans Picked Up
Plans
t r1. .
SOUTH /
^
I hereby ce if .formation s :ii it florret and th', e ar,• no other structures located on this property except
as shown.
Owner or Agent 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 _ ,: (,t 'e zone is ° 4
Sewage Permit Number Issued_ Building Permit r0-370 Receipt 723 Issued
Remarks