1978, 09-21 Permit App: N0680 Residencer
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7.._04).
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of anj
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.
tMOVING 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.
i 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 yy,276
Name of Owner ..i. 0 f Address.4-) t5 s WAn.et phone q Z. S •- SyS 1
Architect Address Phone
Engineer Address Phone
( �,
Contractor gilt►+ V; \r S )c 4, iA. Address 'J i tGS UikpQ . Nit,,_Phone 4251 - 3'1 S 1
Legal Description o roperty (Give comple a description fro deed, tax receipt, etc. parcel Number GSSyI96e/ i
Leri 4-► P_SuA-. z- :Use .w.a..,t eck osA . 24,4k ktlitt. k .`c o
/
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New ' Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot peso r. II.C>+ Sewage System SF4..a& Const. Vit w..eY
ria Fr., Conc. Br. tc.)
Stories 52x2�i Ostoc.s}.),22r•Zs( % 4 ItsxhlCD} c�c,
_�Dimensis of I Sq. Ft L��b Valuation
Rooms 6 Baths 141 Basement 'V ti Foundation Const �"� _ Chimney n"��` Fireplace
(1 Fu I, part, none (Kind)
�(Number
Heat. System i,Cttt+C FArype of Roofing 9L -g- Ext. Finish I�R,
Int. Wall Finish ��uA`1
Use of Bldg. [ - .'_E ,,, 9- i'' _ _,/ _L'., _ i - No. of Units s
_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-
te and water supply lines.
NORTH
,z1 =St to License No.
Ve.e.-N5-AOC '4"" -
Ino. Ins. Acct. No.
711<
SIDENTIA COMMERCIAL
c
REQUIRED
Plumbing Permit
nr Heating Permit
sw
a
J . \-\ C�� `"`
v
N Sewage Permit
.4
L--_--- --
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
9/ag77I
SOUTH
I hereby certy information submitted is correct and there are no other structures 1 V.� rate l'7& on this property except
as shown. (, . , - _11 (j f 21
Owner or Agentx Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
2 ,,. ,ii . DO NOT WRITE BELOW THIS LINE
a.,,i
Your street addres will be Q ��
Qii ��J,! , � �1 i --7-6-,-,1--7-6-,-,1 ,d,,
The zone is
Sewage
Sewage Permit Number Issued Building Permit Y-()(� 'OReceipt ZJfl79 Issued
Remarks
if
Form 523 Bldg. Code
5,
4
160'
O
100'
is'
4.
25'
7'1'
x . 13 -j
LoT q Pack
Lia.s/Fs 2..
Suit
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