1979, 05-16 Permit App: N3327 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE O�
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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
RATER. 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 14,0 6 ,ys
Name of Owner j4 fSSC' t1 >�G��CS I<� Phone �!1�� �
Address Sy'„Zc )
Architect Address Phone
Address Phone
-Sift) Address Phone
o0
Engineer
Contractor
Legal'Oescription of Property�+(Give complete description from deed, tax receipt, etc.) Parcel Number
%r z .7149 c o< 7 1,1 x Com.ICS. — ~ft"
PQI c.) D: a64 -v — c 7/41- eIe- r
DESCRIPTION OF WORK: New �
Size of Lot /00 A.
Stories /_Dimensions 2-2"re- 2,31
Rooms � . Baths Z— Basement
(Full, part, none
Addition Remodel
Moving Bldg. Zone —/ Fire Zone -:,5#
/DCX i_Y/I. Sewage System 'A'/ - Const. /5"1-44-444-
�4-
r , vv r.
(Fr., Conc.,�Br.�, etc.)
412.2-X2,1-6.017 096t- Total Sq. Ft ld.SZ) Valuation /4� i a915
ndation Const COAC-iC4(. Chimne fireplace #�
(Kind) (Number
v7,- lq 2 V
f4'4. Fou
Heat. System /-A iLX C- Type of Roofing I tCC.- Ext. Finish ?..4.#9.72-71.- Int. Wall Finish 2)/1 i-[.!/1!
Use of Bldg. S-14 a f K lies*? t y J .41-C (,'L� � fjoJ77e1,t D G`'�efe e— No. of Units Bedrooms
WO DEQ/
4 50
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
g- 44 „1777-ne/ex-„,
SOUTH
State License No.
o K, N Iii L1F __
Ind. Ins. Acct. No.
RE (DENTIA COMMERCIAL
REQUIRED
Plumbing Permit iktr44/ Z)
•
we Heating Permit A
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
141
I hereby c informs on submitted is correct and there are no other structures located on this property except
as shownc/
CC _.-.1
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
V?,
D iJ ivvispia
DO NOT WRITE BELOW THIS LINE
Your street address will be
f rO7 Ar//24,4'
Sewage Permit Number Issued Building Permit nn
Remarks
The zone is -Yowl( L FH nrr L/ ,4
Receipt 9(9 i Issued
Form 523 Bldg. Code
t1
le L4 /Z N S
1.4g cgEs7- l) /V
•