1979, 04-10 Permit App N2588 GarageCoun' • of Spokane, Washin( �n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
Architect
Engineer
GENERAL REQUIREMENTS PERMIT FEE'3 XX-
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 51'OKkNIr�
fy037
Name of Owner KENIII' E;.;-r14 PE12= ON Address E /.5-217 F I2.DAJW Ay Phone i'A -
Address Phone
Address gg637 Phone
Contractor KMNN E- YH PEP-5a/ Address E..— / S 2,17 12DAPWAy Phone WA if -
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number /4 5'11 - 0123
i 22, PL.ocK1,VSAQA1-. PA>zk ADDt TJCW
DESCRIPTION OF WORK: New Addition X Remodel
Size of Lot c1S t X 8c1/ SO O2 ` 7 G8.(>' o3'13r?'
Storie" l Dimensions 2.4-I X. S6'
Rooms—L_ Baths/k Basement "NONE Foundation Const c=o
(Full, part, none)
Heat. System NA Type of Roofing f.r'1 Mro C [T101.1 Ext.
Use of Bldg. Al rAc1mr) RACE TO p_Xlc-r!/.ICi
ROADWAY R/W WIDTH
Moving Bldg. Zone Fire Zone _,3
Sewage yerrs _ a. -nc_ Const. EA/VM-E
Nc.
Total Sq
Finish c—rc R.
R F.S ►IENc _
(Fr., Conc., Br., etc
. Ft. �Gi / Valuatio,‘ bO b !'`
Chimney Kind) Fireplac (NuWb
Int. Wall Finish Dg\J iJAt L
No. of Units Bedrooms NA
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH
SEE- 1 i rAcNEP PLo-r PLAH
SOUTH
I hereby
as shown.
m
(3) location of existing and
(6) location of sewage sys-
State License No.
0wAi
Ind. Ins. Acct. No.
ESIDE- IAL) COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked 0
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
A►°R1L- ia1 IQ-7q
Pate
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
ertifynformat' submitted is
>t)
Owner or Agent
Your street address will be
Sewage Permit Number Issued
Remarks
Building Permit
she zone is TW Q F/11011 L )1 P.) ;
feceipt O /6,6 Issued
Form 523 Bldg. Code
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