1978, 07-13 Permit App: M7175 AdditionxIsTrier
1,110
County of. Spokane, Washington
BUILDING CODES' DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
0
GENERAL REQUIREMENTS PERMIT FEE ..../.-Q."YK0
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 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 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. There 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 OP 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 SPOKANE/ 1920%t
Name of Owner RIG NA -RD Bfl6MANL Address 2-44I rY N, CENTE,P.. Phone q2-a—2..7
Architect Address Phone
Engineer Address Phone 7
Contractor
RIc-I+ARb BFRyMM.I Address tin8 N • CRNTEiK Phone 9z2-2. 7-3
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number O'75Lt2 17/4
EI–�cTRSj_fateclftitD RAI( -w/3)' SUB pWiSloN br n'cnhl.NERS OF 1St 2CK /1/ —l"7
EXrEP-r nl. SS>/
NUAUWAY N/W WIUIM 4n
DESCRIPTION OF WORK: New Addition
Size of Lot /oo' X 299, 85
Stories ..&&Dimensions /O X 16
Rooms %y 141 -Baths Basement
Ful, part, none
NA Type of Roofing
Heat. System
Use of Bldg.
'K Remodel Moving Bldg. Zone I Fire Zone 3
Sewage System NI} Const. 1=RAMF-
Fr., Conc., Br., etc.
Total 1S�q Ft /C,b Valuation .S(70
Foundation Const c HCKETE B kb C)CChimney IKinWk Fireplace Number
Ext Finish NOW Int Wall Finish No/yr
MI Cor InN p•];' DF cI.0 Tn K(STIN6 HOUSE. No of Units _Bedrooms NIC
CcatiERCD DEck)
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.
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SOUTH
State License No.
OWNe.C.
Ind. Ins. Acct. No.
— COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7//0J 4ae_
I hereby certify infor ti�om submitted are no other structures located on this property except
i
as shown`/ A VUTi. m-j&i4-47 . �34 ULy )3//�7Y
Owner or Agent £ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
is correct and there
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DO NOT WRITE BELOW THIS LINE 5
Yourostreet address will be f 2,11i ' N C r /' 'TIS K //ATI / I The zona is
Sewage Permit Number Issued Building Permitl/ Receipt r7 / 3 Issued
Remarks YY
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Form 523 Bldg. Code
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