1978, 08-08 Permit App: N0048 Pool et , 4 0.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4/2A°
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.
.PLICANT FILL IN BELOW THIS LINE �Q 6
Name of Owner_ .:-../ - �/7/�Y�. Address 59/ l Y 4L l e� _ Phone 5' /839
Architect . / Address_ `� Phone
7
Engineer Address Phone //�
Contractor 46449/1/177 -///14_," Address - /, lfiC� l Phone 't '/C�55
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number-Z.5-32— ,//fJ
4, /ii - 3-44- 7_%/4 t ,. a10. 7 d
DESCRIPTION OF WORK: Now_k_ Addition Remodel Moving
Vonez_i____ Fire Zone-
Size of Lot C��-' X /�� Sewage System � Const. _
�
' r r 5j3 (Fr., Conc., ., t
— ,
StoriesDimensions . 2�' Total Sq. Ft. Valuation Hi
Rooms Baths Basement Foundation Const. Chimney Fireplace —
(Full, part, none) (Kind) - (Num r
Heat. System Type of Roofing -Ext. F is Int. Wall Finish
Use of Bldg. /2/12027-12 , , 4 /AftGi , r No. of Units Bedroom
RO /W WIDTH
C 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 Stat 'c se No.
Ind. Ins. cct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
na cn / ` cn Sewage Permit
-4 -4
lO 0 � Plans Received
T Plans Checked
Plans Returned
' r '' Plans Picked Up
•
Plans Mailed
1-177.7.{ iriti7S
SOUTH K xetf
I hereby certify infori- ion submitted is correct and there are no other struct. -s located on this property except
as n. ' -
,t,_ ` , i 8 473
Owner or ent Date
A LAND USE OR STRUCT RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE (-,
DO NOT WRITE BELOW THIS LINE D 6
Your street address will be , . �� I.
�� r".;. .L i ,------ .)�
'.0im _
e zone s
Sewage Permit Number Issued _ Building Perm Receip ____I sued
Remarks _-- -- ��/ ----