1979, 06-27 Permit App: N3866 Residencer
County of Spokane, Washington JOB# 571
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 falter 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 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 thestructure 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
no
cid
Name of Owner CRC -RC
Architect
Address P (l Ras 9704 TA Phone 838-6567
Address Phone
Engineer Address Phone
Contractor CRC -RC Address P n Rnx 7704 TA phone 818-6%7
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 24533- mon
S 90' of Lots ]8, 19. 20 and 21 Block 10 exc Co RN, Bettman Addn
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone Fire Zone)
Size of Lot 90' x180' x92' x160' approximately Sewage System septic Const. frame
IFr., Conc., Br., etc.)
stories Se Dimensions 26'x38', 22x22' garage with deck above Total Sq Ft 1976 Valuation $55 900.00
Rooms 5 Baths 1 Basement100 - Foundation Const concrete Chimneymason Fireplace 2
(Full. pert, none) (Kind) (Number
Heat. System FAE Type of Roofing [`nip Ext FinishTl-11 Int Wall FinishshePrrnck
Use of Bldg. Single family residence wi th attached garage with deck No of Units Bedrooms 2
above
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.
Z 0 1
NORTH
SEF ATTACHED PUJT PLAN
SOUTH
I hereb certify infJ matiosubmitteis there are no other structures located on this property except
as shown. / ,f)
-2.7-79
State License No.
CO—NS—TB-R240P5
Ind. Ins. Acct. No.
371-522
RESIDENTIAL Q - COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
(9-M- Mi/
DO NOT WRITE BELOW-TrIS LINE S ie 44
Tour street address will be ..`i -!'/:24
1
The zone is(-4,,tc4aLfte L? k 24,11,
Sewage Permit Number Issued Building Permit l\f ,/ Receipt/ O/.9 Issued
Remarks
Form 523 Bldg. Code
•
OFFICE OF THE
1 r
SPOKANE COUNTY PLANNING DEPARTMENT
To __Building Codes Department
From.. Planning Department_,
Subject__. Building Permit
Date
&-a1
,19
T e Plann ,g De artlent has received a request from
Lei for the release
of a building permit on the p perty as described on
the attached affidavit/legal description. It has been
determined that a building permit should be issued
under the provisions of RCW 58.17.210. This memo
and attached affidavit/legal description must accom-
pany the building permit application.
p � o
10/2-7/79
(S. Ro' o. ti, 19)).0,„21)
-NOTE
fWGw?'
a W /r \
RE RAS
L RA \\
/O
crw,