1978, 09-01 Permit App: N0376 Residence164
County of Spokane; Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 78,51€2—
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0
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 ■ith 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.
APPLICANT FILL IN BELOW THIS LINE
C`. L-. S. Cs -A. * • -
Name of Owner
Address 6 d C4 r 17-a. ' j 010 o Phone 5 3 C - 1 0(p
Architect Address Phone
Engineer Address Phone
Contractor Q Th. -E-- -Address 5;4 x'('1 -4, v)L Ph V of
Legal Description of Property Give complete descri�plion pro deed, tax receipt. tc) Parcel Number rut. o 3 3 S 1I - S 001
Lc'13 €1 Deis 4 f�:doflr0YAL Asci -%tor.
g�W SD/
DESCRIPTION _- - RK New \ Addition
(SO
Size of Lot
Stories Dimensions
Rooms �� Baths `2.
Heat. System ._ : $ Type of Roofing
Use of Bldg.
Remodel Moving Bldg. Zone / Fire Lam J
Sewage System -c- al-A------C_onst. r ram L
....11p r (r., Conc., Br, tc.)
4 !� (!1 4' a )�� Total Sq Ft
ti
`(E O�
Basement Foundation Const .Q +t G r !�� . tt� 1METi}
ull, part, none Chimney Fireplace
:in:
1 (Number
ti
Ext Finish 4 • =w� Int Wall Finish pry wl a rtt
No of Units .Bedrooms . r
REI'UcC 5 r M rT No. 4s -8t
r
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.
Ri+PLAcES PERMIT ND' "-NORTH
No PG.cc.s
ScL pt tart
0..`4 sLQ 4407
SOUTH
Y1
r
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
wA Heating Permit
• Sewage Permit
- 6
Plans R.ecelved
Plans Checked
Plans Returned
Plans Picked Up (�
Plans Mailed
1;/ / : ehtei
t1,gn sypmltteA is cpruct and there are no other structures located on this property except
I hereby certify informs
as shown.
_ sgr' i%1r17
Owner or Agent Date .1/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9^l 74/144.Z6 DO NOT WRITE BELOW THIS LINE 11.9 Z."
Your street address will be S. ,36'/7 j3 ftrrE,c C1? E 7'' f 1thhe zone is S;M$l C. eAMILif Rcs
sewage Permit Number issued Building Permit / O / Receipt --S-679 Issued
Remarks TYt'. ON PEkMIT — Ls/0E- PYRMTT REQuIR 17
REP1 . S PE?M>T Nn' M - 4589 -
Form 523 Bldg. Code
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