1979, 04-02 Permit App: N2453 PoolCould of Spokane, Washi4on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7/ Q,'
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 filter 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. Watir supply must be approved by the County and State Health Departments. Where work on water connections disturbs the surface, shoulders
or ditches ofCQanty 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.
y 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 alhion. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Ouster FR or Tog, np6 •)
Architect
Address B 1120g- I3K' Phone g...44 b
Address Phone
Engineer Address
`opo
from deed, tax receip etc.l Parcel Number
�fz.P pD, rl �
Contractor
Legal Description of Property (Give complete descr �Zrosc„ x -Ps
Phone
Address Phone
^f vs- Y4I-`J rale
J oT { Rlock 3 P
DESCRIPTION PF ORK: New _ Addition
Size of Lot / rC t 7
Remodel
Moving Bld
Sewage System
/�
Stories— 'Dimensions / d x a� Total Sq. Ft (O yf
Rooms •Baths Basement Foundation Const.
-roll, part, nonel
Heat. Systemx�R Type of Roofing
Use of Bldg.,
ROADWAY R/W WIDTH / O i
(�
PLOT PLAN
Chimney (Kind)
Int. Wall Finish
No. of Units Bedrooms
Ext Finish
Br
d-
Fire
Cponst.
IFr., Co ., etc.)
Valuation m c
Firepla e--
(Number \)
raw sketch with dimensions showing: (1) property lines; (2)_street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH rlf.p / /33r
SOUTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
3 REQUIRED
Plumbing Permit
Heating Perm
Tri
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located is operty except
bks 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 ' 2-'{S 3
Your street; address will be
Sewage Pernit Number
Reiner
D
ssued
Build ng Perm
zone is
Receipt i9 7j n . Jed
Form. 523 alda. Cods