1979, 03-05 Permit App: N2146 ResidenceD7 55-9 - Oi
of i
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201r q
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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
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, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
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 buildings (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.
zi
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Krii.; htS loin i t nr s Address RnX 1)5 3orkforn Wn, Phone 291 - 85
Architect Address Phone
Engineer Address Phone
Contractor Knights Qunl i ty Hnmrg Address Box 1)45 Rockford, 1n. Phone 291 — 485
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 0 755'4 - 01 Z7 _ 1Z4 41r?
Lot 8 Block 1 S�.mpsons 1ST Add.i ti on
DESCRIPTION OF WORK: New X Addition
Size of Lot 115X134.9
Stories 1
Rooms 9 Const CnnnretP
Dimensions 26X7),1 -f 2 X.14
Baths 2 Basement Yes Foundation
(Full, part, none)
Heat. System .Elect• F.A.Type of Roofing Co11141sitiOn Ext. Finish Stain
Remodel Moving
Sewage System
Bldg. Zone / Fire Zone
SPpti ' Const. F'nmP
/ q` (Fr., Conc., Br., etc.)
Total Sq. Ft lett Valuation 65, 896
ChimneyldiasOnnryireplace 1
(Kind) (Number
Int. Wall Finish Latex }'al nt.
Use of Bldg. Single Family Duelling .4;1a
6:6)(
PLOT PLAN
No. of UnitslLBedrooms 3
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.
s"
.4
NORTH
c.
1-c -g' 1M I,,
/ 2-' / 2-' J 2'
/2' 12'
N
S
N 0
N
13‘416244"1/4) OUTH A✓e z v'C.
7
State License No,
223 -01 KN- IG- H2321li 6
Ind, Ins. Acct. No.
_79
L — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
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
as shown. e
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
3 -5 -79
Date
CONSTRUCTION COMMENCES.
f71, , 71.4t -71.4t DO NOT WRITE BELOW THIS LINE
located on this property except
Your street address will be (C1, 0Qv �E%�/ �y� (�t.L_ The zone is
Sewage Permit Number Issued Building Permit Receipt 1 1 7 Issued
Remarks
Form 523 Bldg. Code