1979, 05-24 Permit App: N3406 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.___IIn
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 Owner t()L>Di. LS' l/, c. Address L /1 7c2O 6r-Pia/1 Z) Phone 1a 4-YO7
Architect Address Phone
Engineer Address Phone
Contractor Sie41-'v( Address / I Phone % i
of Pro
Legal Descriptionperty (Give complete description from deed, tax r,geipt, etc.) Parcel Number ,25-5-1/1 _ —0..)0 /
, t
A.Com, 8/..„,-.„ x _,.2./`i' / A 61i11%l� ,t17` Vt6 :,Z
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot / ��� Sewage System S�142,12 �onst. C�
9OnK Fr., Conc. r., etc.)
Stories _L Dimensions 4/7 xa E /SX'2 S' r2i/ x..23 /o2y )Total Sq Ft .r 9J1 Valuation7T.(-3 U" . )
Rooms 7 Baths Basement .11L Foundation Const C'OAV.,6---7--A Chimney,� Fireplace
Fu I, part, none) (Kind) (Number
Heat. System A-34.4,----•- Type of Roofing 5,914...e Ext. Finish ) D.e- Int. Wall Finish I'914..)l# ) -
No. of Units _Bedrooms
Use of Bldg. , X01 / f/2/7/,1j, Pi
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance ty property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. (t_
3v —.
SOUTH `� g 7 V
I hereby certif
information submitted correct and there
as shown.
Owner or Agent
State License No.
2/' /LLs/
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit 41/
Heating Permit t'- )77
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property
Date 2r//7"
except
AAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be . . /90(0 CO.//C(10
Sewage Permit Number Issued Building Permit
Remarks
l
0
6
e zone is ...l' R ,
Receipt i/ S O Issued
Form 523 Bldg. Code