1978, 09-11 Permit App: N0502 ResidenceI)
D
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ��P�
GENERAL REQUIREMENTS PERMIT FEE
72/
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 canister 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:Froperty 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 gOAkY VAUyAIU4-'S Address " 5D'`•I PrI-pn%+IAi phone93-Q 1tee�
Architect Address oA ATI E° ggso6 Phone
Engineer �l Address Phone j�
Contractor vidA119:4hie /CA/7 471) Address pone G —724/
Legal Description of Property (Give complete description fromdeed, tax receipt. etc.) Parcel Number
T%1Aci A oil'° S1Ja,c-ti✓ PG.o -� 74 0 3C h l .r 12 es z
ROADWAY R/W WIDTH .d /4-' 3
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone
g • SS X 70.33 J: / 41 . Yawage System S-6).ri C onsttrai —
Size of Lot . + sin. %Y
(Fr.. conc., Br., etc.)
w/a r� Total Sq Ft __ _L_�—Valuation 3�,o s
Rooms I- Baths • Basement F1t�Foundation Const CO70G►'lsrr4 Chimne Fireplace
Fu 1, part. none) ��t,t,p y (Ki (N r
Heat. System Type of Roofing C.•..f• Ext Finish CL AO Int Wall Finish O!/l1 LtJ4D 4 -'L --
Use of Bldg. .6 FdIhYL 1 j,l L dr/ GQ- No of Units Bedrooms 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Stories / Dimensi .a7 X1440 S4.
67
NORTH
l
3s1,
/ Jr
4
7s
4
SOUTH
I hereby certify in
as shown.
is correct a
State License No.
4E •233q
Ind. Ins. Acct. No.
�ESIDE..A=C. - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
NSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structur:s loc
his property except
Agent - Date
A LAND USE OR ST CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
•
THIS IS NOT A PER IT.
'j2 DO NOT WRITE BELOW THIS LINE
Your street address willbe2 6
7� `I �R) t. V ) L,tu
COMMENCES. ('
Sewage Permit Numberj /J• Issued Buildfn Permit
Remarks
The zone iskl-"`---
Receipt ..74)-Z523
Coo S? a- 7 g
N CQZ
Form 523 Bldg. Code
LE&AL!
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VAN PARY S ENHa-Pi)
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