1978, 09-01 Permit App: N0378 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE .OR STRUCTURE PERMIyiC 78 X
PERMIT FEE .__.`__-'moo
GENERAL REQUIREMENTS
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 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 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.
L .!
.Cb APPLICANT FILL IN BELOW THIS LINE c7q/2nc, •
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-10-2-4-61-Lk----d Phone S3'S` L18(3
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Name of Owner __ • - . .. . Address
. Architect Address Phone
Engineer Address Phone
Contractor 54 Yh {- Address Yn phone
Legal Descripti«l of Prgperty ( escomp ete de ription fro leedi toil receipt, c fiI t121:r? J 3 a tf I -9 00
L Crt 1 J Q 1 "/ I tack to h tet— , c r�
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DESCRIPTION OF WORK: New Addition f Remodel
Size of Lot $ 3, 5 ) 1 l 50 sews
Stories imensions i 1N •(:•`+ R.0)(0,,4 + MNia(.
Rooms Baths aBasement 3�o � Foundation Const Co'ACCO. 1.
.. IIF I�,I
�part, none
Heat. System C 2.t1 4/Ty{ie of Roofi g --_� Ext Finish S
Use of Bldg.
Moving Bldg. Zone ._J— Fire Zoe 3
Sewage
Ft
Systemluati Const. i�d Kh <-.
Fr., Conc. ° bO
Total Sq hi coney Fireplace
CJ
Chimney Kind) FireplacelNumbp� Q _'
Int. Wall Finish r' w A.1(
fx'Oct.9C a�tcc"M6. of Units Bedrooms
Penn r N M 1151'S peck
LOT 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.
NORTH
Ste czM Ackc� (a
Pico\ 4i/co
SOUTH
I hereby cep ify information spbmitted is correct and there
as shown.
State License No.
OIC aN FII'
Ind. Ins. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit ter•
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
sRI'Y /1197?
0((her or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
tt/ M/tP
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number
Remarks i
TYPE PeKMtZ-
S, 24 /8 gPrrE.S - S`TKE:Et a zone is S/ MFT11,0T11,04114 P&S
Issued Building Permit M 03 Receipt 5‘93 Issued
SIDE SE'I;PER PtAMrr (Z'�Qute %111000
R,=PLA<�sFISAAT-r pfi M'fEr83
Form 523 Bldg. Code
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