1978, 09-25 Permit App: N00949 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N;811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE 1 ° -ACX
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 onwater 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 �}/AJLIIO /4550414705
Architect
Engineer
Contractor
Legalbescription of Property (Give complete description from deed. tax receipt, etc.) Pa cel N er
,LOTI 3,/s ac / CI 4A"�/�Dn /Lai, iti 19
Woos -F L'vr257
Address
Address
Address
Address
jo1-9 .J.a.✓Es ..m
Pie -a • 6-4
Phone
Phone
Phone
Phone
of O 101_
145
DESCRIPTION OF WORK: New Addition - Bldg. Zone Fire Zone
Size of Lot
Remodel
Moving
go / 35—
1 Sewage System *rye roflsConc B?etc.l
22' X 2$' l i i ' t� 2336
Storie Dimensions 217 K y6 ++j xzz t 22X zTotal Sq Ft V nation (� flora
Chimney (Kin) Fireplace
rr..^^ � J (Number/
Heat. System e1'^I' ' Type of Roofing tt,-s-f.D Ext Finish tilt Int Wall Finish dAytQA-ox
Rooms Baths Basement raiz Foundation Const
u(I part
none'
Use of Bldg.
ie1w601
,L1 -St tt..e.: . e QAPtD �,Atg/,F No of Units+Bedrooms
7170 CID>=cK- T
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
infrefitip
State License No.
Ind. Ins. Acct. No.
FSIf1FNTl — COMMERCIAL
REQUIRED
7' -J14
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/J .c2�LQ
SOUTH
I hereby certify information ,QUbslittedjs correct. and there are no other structures located on this
as shown.
r Agent
A LAND USE OR STRUCTURE PERMIT MUS? BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
014 AO /6/cam f72
DO NOT WRITE BELOW THIS LINE
property except
Date
CONSTRUCTION COMMENCES.
Tour street address w111 be 1=, /q/J/ DE_SAk— /IVF
Sewage Permit Number Issued Building Permit
Remarks
41-91-1 The zone is SJN6L.E -R4M 14/ XFS..
Receipt ' II 3-7? p Issued
Form 523 Bldg..Code
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