1978, 09-25 Permit App: N00937 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N; 811 JEFFERSON, SPOKANE, WASHINGTON 99201
. APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 97.
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 coaster 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 47235.
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 f'A%4Q A'ocia a'S Address [ O/� AL //& Phone 92204o'Z
Architect Address
Phone
Engineer Address Phone
Contractor LA7no t¢ 1043 kJ'rr• _ Address Phone
Legal'Description of Property (Give complete description from deed, tax receipt, etc.) ar I Nu r PT/`i 6F /1/,$ 3 .3
—902
f4 abc is 1 u I.
r he,9 I H }'
4.r}P'
DESCRIPTION OF WORK: New Addition ' Remodel Moving Bldg. Zone I Fire Zone 3
Size of Lot 90 jt I S 1, pewe ge System SS I C onst F
j 20�X Z.�f I Irj�6 MRIJT b' xZp IFr.. Conc., r., etc.)
Stories /dimensions .L'Y>'D. Ica" Foundation
."Z. t/(.XC�2i t' .� —1 Total Sq/Ftt_V luation �TaOb
Roans 1 rL Baths -Full, part novel Foundation Const !J'^^"""'"� Chimney (Kiti Fireplace._
f,"�� ��� ttt��� um m �
Heat. System ac A- Type of Roofing ^� Ext. Finish 7741 Int Wall Finish Y
Use of Bldg, /L2Stcl . 4...LQ ue A#4Cyte &qg, No of Units .Bedrooms
6d PLOT PLAN Ks - _6'xztf'AREA FIN H1✓L) M Shs�'ME
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
N
.4
I hereby certify
as shown,
State License No.
OK: EN /L€.
Ind. Ins. Acct. No.
DENT13Si., — COMMERCIAL
REQUIRED
Plumbing Permit ��SS/r+.-t-..
m Heating Permit S Oaf, N Sewage Permit L.$)t Oa f,
N
Plans Received c!
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ormatio .ubmitted 11 correc and there are no other structures located on this property except
Owner or Agent
49-zs-76
Date
A LAND USE OR STRUCTURE PERMIT MU BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
aK 440 x/s/7
DO NOT WRITE BELOW THIS LINE
s
Your street address will be F P1 /OS sM�T M-' - � % 7 The zone is S/N+A -f£. FAM)L,y F S
Sewage Permit Number Issued Building Permit j Receipt e3 7 glssued
Remarks
7
Form 523 Bldg. Code
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