1979, 03-26 Permit App: N2350 Work Shop• • .. , •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
i
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. Construction is subject to Inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater connections disturbs
the surface, shoulders or ditches of. County Roads, permission must be obtained from the County ngineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
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.
,/j � � tt APPLICANT FILL IN BELOWITHIS LINE z4tt 99 =DG
Name of Owner /,,.Zits n WAGALL 1 an Address_+Cl, .7 / 2 ./l.i/.i� �f�-' Phone 9.24 �/Q 7'
Architect .54 .-,c. Address / Phone
Engineer/'t Address Phone
Contractor IL-1 a ' t N /Q /5-0/11 C [ Address 1, ' 13 P 1 ca't ilcab k2 Phone - 9 241 -/ k cS'-
9Ci- 'V/-0709.
/ -if-
0,-% /_/ 4r 11 7a
Legal
Legal Description of Property (Give complete description from deed, tax recg/ ipt. etc.) Parcel Number
,til o�/c 4Au'r {h C5 kr" Bill/s /1Nn/, a n as
}'t ere o S,- rc C. c, r r4C L1 Ld Vrr• L[LmC
n�. L
DESCRIPTION OF WORK: New X Addition
02 5'D Zt pr
Size of Lot
Remodel
Stories / Dimensions /60 X 2U
Rooms Baths 1Basement 0 Foundation Const
I
Full, part, none)
0 Type of Roofing .Stela IGC
U.fofk Whey
Heat. System
Use of Bldg.
Moving Bldg. Zone / Fire Zone,
Sewage System n 0 rt G Const.Pray"
Fr., Conc., Br.. etc.)
Total Sq Ft !
/ to Valuation .--40-00—
�-�+rtre* n Chimney n Fireplace 0
(Kind) (Number
Ext Finish p4. 4 Int Wall Finish R;r4,0+ ...
No of Units SBedrooms
PLOT PLAN
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.
m
-I
y
NORTH
0
a
-41
,,zz ;O$�
Liz
SOUTH
P07 oM
rite -
State License No.
Cc, -19 - Pr. - 51:2 90c.
Ind. Ins. Acct. No.
V 7-77Og°
RESIDENAAL gCOINMERCIAL
0
REQUIRED
Plumbing Permit
Heating Permit
NSewage Permit •
N
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 on this property except
g7 a4r,.1 g ;9,1,c/l,k_ 3— ato -7?
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
as shown.
Owner or Agent
Iour street address 7111 be 2, ;Lei tail 113/2-, , std-- The zone is atz!-( %ctL--
Sewage Permit Number Issued Building Permit Receipt 7 9// Issued
Remarks
Form 523 Bldg. Code