1978, 09-01 Permit App: N0377 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE; WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Jf-
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED, A land use or structure permit is required by County Resolution to erect a building or structure any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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.
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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 /•
Name of Owner S Ont' Address C b Phone _ 1
Architect Address
Phone
Engineer Addressr— Phone
Contractor 6041.-, Address Phe
3354-1(- oo aDwr%e.
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Legal DescrjptO4of Property lye coplete description from peed, tax recejpt,tetc.) Parcel Number
4. a 0/10C—IAy lv(.d4 ow.L Ae�sl rk n
�w 50
DES RIPTION OF WOR y
Size of Lot.. ( �\
)
Stories�IL-.Dimensions a.6' Q.0-4
Rooms S Baths 3 Basement
�� '- I, part, none„
9dition
o xa
ISewage
System
Bldg.;oone `// Fire eRemodel Moving FostConc.,B
Q left" dax oto Total Sq Ft �luation �eWl
s2D.dc
Q•Chimney
FirePlace(Numb�7
YL—
Ext Finishl 110. W Ob Int. Wall Finish 113'9, .V 0. II
Foundation Const
Heat. System ec ) Ty of R fing CO
Use of Bldg. S.'AQ t t 'Et'rr W4� it �QY'a5t o {+ACLtd No of Units Bedrooms t3
�1 cES p Ml t /do, M! �SBZ PLOT PLANT Iio Pct.s
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
p loo p/ Gc y,
SOUTH
COMMERCIAL
REQUIRED
Plumbing Permit
w t Heating Permit
N Sewage Permit
Plans Received
Plans Checked 1
11-1
Plans Returned
I,
Plans Picked Up
Plans Mailed
I herebytify information submitted 1♦; correct and there are no other structures located on this property except
as shown.
Al
r,x un
Owner or
sof—r. 1 JQ78
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
oN Milo°
DO NOT WRITE BELOW THIS LINE
Tour street address will be S. 36/3 13 -rac The zone Is -51fGL-E FAMILY �E3
Sewage Permit Number Issued Building Permit 03%%Receipt S67c1 Issued
Remarks/Pr Pat./vim- REQUIR /J
TYPE ort P -RM rr R s'/-AcF S tiff
Form 523 Bldg. Code
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