1979, 03-15 Permit App: N2270 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT , so
GENERAL REQUIREMENTS PERMIT FEE /2-)
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 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.
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.
4t4Nd12-(' -� j-jvy�,l S APPLICANT FILL IN BELOW THIS LINE
Name of Owner �4 ''V./. Lei Address C 7 2O raM. V RL"( Phone q. -C-',9-7
Architect i Address y] ea/ca r Phone i
Address Phone
Address
Engineer
Contractor . '1Q t'y
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel
Number
Phone
15`712
—77^i -s �. o � i pI p, No , '78 - 003
DESCRIPTION OF WORK: New p
Size of,ko ' S7.3 i )t7
Stories timension , -J®
Rooms g___ Baths _2�.. asement 1=14 LL
(tu 1 part, none)
/( Addition
Remodel
Moving Bldg. Zone / Fire Zone 3
Foundation Const
Sewage System LLQ Const.F244
IV Tao (Fr., Conc., Br., etc.)
X2 otal Sq. Ft.ZA1674 Valuation
•
n s-- c Chimney / -k Fireplace
(Kind) (Number
Int. Wall Finish La'? ywLi
No. of Units _Bedrooms 3
Heat. System - LEE G_ Type of Roofing ( / /L7 Ext. Finish
Use of Bldg. ) CvCr 20. D e= )4 I
145c mni =•Th `P,14717 7 PLOT PaiN
18x30 7X(/0
Draw sketch with dimensions showing: (1) propertylins; (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-
te and water supply lines.
/ / /
%o%etl SQ
Boy
f
NORTH
6
I hereby cert
as shown.
SOUTH
,, t3.' on submitt • •_�, orrect and there are no other s
C��d
Owner or Agent
State License No.
Q GL 6N pi
Ind. Ins. Acct. No.
3 -► o 7
ac
RESIDENTIAL - COMMERCIAL/
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ructures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE O ' THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued Building Permit-A;Z7-'
Remarks
DO NOT WRITE BELOW THIS LINE
N, 1.32'- BOLIVAR goAD
The zone is / FiRLCUIL-TVI'KA4--.
Receipt-7C-,R.2._Iasued
Form 523 Bldg. Code