1979, 04-17 Permit App: N2815 PoolCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
7f,
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 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.
APPLICANT FILL IN BELOW THIS LINE
C
Name of Owner } IL( r on Address 5- 5,Co P I5 Phone 9z/t' 2
Architect Address 9c'; Phone
Engineer pREi Address Phone
Contractor r c (57o " D@fa.ri T Address E d3c' /4/537 ,0&" 95L2 Phone 5 35 -511"6
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 2-1512. - 0903
N 130. i *- 5 '2470,2 -
E 153
DESCRIPTION OF WORK: New /JAddition
Size of Lot /3o./ r)4 3 2o.g `PSL_
Stories ^ Dimensions
Rooms Baths ^ Basement -'-
��
(Full, part, none)
Heat. System 11T� Type of Roofing
Use of Bldg. f/2((itkT SL‘.,I/4/4(006
Remodel Moving
Sewage System
Bldg.. Zone
507?C
/ Fire Zone 3
Const. lZ I4'N r
(Fr., Conc., Br., etc.)
Total Sq. Ft Valuation 15/
Foundation Const (1' Chimney Fireplace
(Kind)
r(Numerw
Ext. Finish ,, & 7E Int. Wall Finish f Cf' 7E fns7�
PpCO(_ No. of Units—Bedrooms
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.
NORTH
32z r rL-
117'
on
--r-
E
Is51
X20.8' Q�L
I hereby certify
as shown.
SOUTH
ubmitted is correct and there are no other structures located on this property except
�Gv
State License No.
Indcry imj FAL-
, Ins. Acct. No.
3 -/O 'Zq
- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans I tiled
L7[l/ /
er or Agent
17 Me 79-
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE (
7"(7
The zone
Your street address will be
Sewage Permit Number
510 13oWra1SN K.oJD
Issued Building Permits
i8 ,AGR./cUt_-rURAL-SCIS
Receipt O 3174eIssued
Remarks
Form 523 Bldg. Code