1979, 03-01 Permit App: N2099 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT I, oO
GENERAL REQUIREMENTS PERMIT FEE /O2.
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner )r" Alla.- Jeei 1Q Address F1f0[9/ 130Oner y'cJ;t0 Phone
Architect .)efrrroy inGrson Address 5. '3,1 AL, tee Qrr,lA? Phone
Engineer. Address Phone
Contractor FBaCo Trc Address Q+I"VICA /a, 4'120'1 phone 838.21H4
9.24/ 7/2 If
NH8883c/
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Jd5^y2 -ns az
5 2/ /7 ' of ti) xifp ' of E lAo' crft- t to 0psb,.f..:.i1 9�
DESCRIPTION OF WORK: New Addition
Remodel
Size of Lot r2kn X }iii
Stories _LDimensions uZk X.2 /.Q X .z.D
Moving Bldg. Zone _/ Fire Zone
Sewage System Ir Ain't S Const. f=
$(� (Fr., Conc.. Br., etc.)
Total Sq Ft .== Valuation -23)70q,00
Rooms I Baths Basement Foundation Const Cone.
Fu I, part, none
Heat. System
boc-ci
l�csa/J Type of Roofing- y� Ext.. Finish
Use of Bldg. RPG 11.'Lee. C attee ,�.(�r// ,Lo' LH'Ln.LCI
Chimney Nana Fireplace 'Veit a --
Mind) (Number
%�NG/�*` Int Wall Finish 3R.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No of Units Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
2/17
-4
One R ve.
SOUTH
I hereby certify information submitted is correct and there are
as shown.
�j r�ea ' 7 ij(a;. .
tpteLicense No.
- f/ /6/79
Ind. Ins. Acct. No.
2 23-o( E6-Gc-OM—/.2sc.-14u
CRESIDENTIa - COMMERCIAL
REQUIRED
NO
Plumbing Permit
Heating Permit
Sewage Permit /,r O
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
4/4/7 s what teJ
no other structuresl�
tlocated on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be f /SOD/
Sewage Permit Number Issued Building Permit
Remarks
•
The zone isl retittrit Aetta>:V'f /'-
Receipt 7.50 / Issued
Form 523 Bldg. Code