1978, 11-30 Permit N1579 RemodelCoun* of S olkone, Washing
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 performeo 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 LII
A4
Name of Owner _ L�&7 Address
Architect ,��/ ,, Address
Engineer_ / /!' Address
Contractor K,--/ Address
Legal D
Property ( ive
DESCRIPTION OF WORK: New
Size of Lot _
Storiesi. Dimensions
Rooms / Baths
Heat. System
Use of BI
RO
tem
RAW WIDT
from din/tax receipt, e).
Par
Acldit - 4 n Remodel
Basement -fJ"✓'/Foundation
part, none)
Type of RoofiQ
on . t.
`. Ext. Fi i
/Jo.r<
PLOT PLAN
sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
ed buildings; (4) distance to property lines a+:d streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
/_ �
Moving
Sewage Syst
mberj
Phone 22 2
Phone
Phone
Fire e
onst.
Fr., Conc., :r., etc.) Al
TotAI Sq. .. Ft Valuation
X /i rnney�/4'
(_ K`" d)
Int. Wall Finish
No. of Units Bedroom
Fireplace
er
NORTH
(ay (--/e
(4,(1/ g ,,/d/ctertiiw4a
I here
as rn.
m
a
N
SOUTH
S 1 Lcense No.
Ind. Ins. Acct
o.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
y information ,uJrmitte4 's correct and there are no other structures located on his
, �.
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
property except
Your street address will be
Sewage Permit Number Issued
Remarks
Building Permit
se zone `/ Ae
Receipt rJ // ssued