1978, 09-25 Permit App: N00948 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N,.;811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /014rt
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 thestructure 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
/O,9APeso ,ves geS
Name of Owner «' jViJty ilskefettrOPTE, Address'
Architect Address
Engineer Address
Contractor tato C.S f.OA> Yr Address
•
Legal Description of Property (Give complete description froigied, tax receipt, atc.) Pa cel umber Prf`( QF /1{1� 3 A7
Phone
rjZ,2&lo7,,
\ Phone if
Phone
Phone
Ler' /Q CC.il/ v n �ra(/s / jt
DESCRIPTION OF WORK: New X Addition
0A13 C
Size of Lot
Storie24l21 Dimensions 22.IX2.8.
Rooms Baths 0IFBasement
ull, part. none(
Heat. System Type of Roofing Cow.
Use of B g.. y_=6/ i4.¢ ivi-rai)
t
Remodel Moving B
Sewage System
r
J `/1f l�h (.} 1i)tn-i1 Tota
Foundation Const /'Q W20.- i ,cJ2
Idg. Zone
q. F
C
t.
h imney
Ext Finish Tl f f
,, a .
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
) Fire Zone 3
Const. r
(Fr., Conc., Br., etc.)
V luation / 0400
Fireplace
(Kin 1 (Number
Int Wall Finish der yl --3C
No of Unitsedrooms 3
NORTH
w
s
IA
y
State License No.
AV.-oto*lbC..
Ind. Ins. Acct. No.
(mam I k - COMMERCIAL
REQUIRED
Plumbing Permit 'C/� `� 10
Heating Permit r'r r�-S
Sewage Permit
LLt , Urn..? Q _
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informs ion subin tted isjorrect and there are no other structures located on this property except
as shown.
fT/ g -ZS- ,S
r Agent ( Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ON Mk? /D/t-j77
Your street address will be T_ /41)"7 IDEasmcr AWE__ n me zone is'ii46L_ly ILy
Sewage Permit Number Issued Building Permit ilic Receipt 337 Issued I
Remarks
DO' NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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