1979, 03-15 Permit App: N2381 Residence1'
County of Spokane, Washington
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 alter 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 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 OwnerP(2 r k W cock CONST. Address PO Ant. 31,51 114 ? '2.2) Phon 53 Zl- Pey66
Architect Address Phone
Engineer - Address Phone
ContractorkirkLCOOd 0,0551' `StP(12n P, f P, y Address -1�� phone %q7 -Ip b661
Lege! Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
p iN k/PS-{- A-dd j41 an -- LOi- 10 Pi L 1
O',5'LJ 1— 076
ROADWAY R/► WIDTH
DESCRIPTI ORK: New __ )_ Addition
Size of Lott .7 1Qq (WO,
!Stories QDimensions be
Rooms (f Baths Basement I QNP. Foundation Const
Remodel
Moving
Sewage System SF'P1C. oust. F rQ W(
,
Sq.Ft � Const. Conc., Br., etc.)
Total
Valuation 1-161I q50.
l'l?I'li'J«'TC. ChimneyI O&11 Fireplace 1
L (Kind) (Number i
Ext. Finish 1i t Q r\l)'OOQInt. Wall Finish 5 hp" 4-rtac,k
No. of Units .LBedrooms S
Bldg. Zone .— Fire Zone
Full, part, none nn ,^,
Heat. System E- (' u V Type of Roofing W rt, p
Use of Bldg. 1--(FYlk) GCt7W-c.A,440
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
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-
I hereb cer ify inf
as shown.
SOUTH
Owner or Age
A LAND USE OR STRUCTURE P
THIS IS NOT A PERMIT.
Your street address will
Sewage Permit Number Issued
Remarks
State License No,
Pa- rk—we--1.2.10‘A/
Ind. Ins. Acct. No.
aPP I ir,C01 Orr) r
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
n+ Heating Permit
fA
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3/./ 7/7 f.a40-4/0
is correct and there are no other structures located on this property except
3 -i5 -7q
R T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Date
DO NOT WRITE BELOW THIS LINE
bei`c /
The zone is
Receip
Form 523 Bldg. Code
n
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