1978, 12-26 Permit App: N1750 Residence• •
County of Spokane, Washington _.
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMITc--
GENERAL REQUIREMENTS PERMIT FEE
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 ■ith 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 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. Paints 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 4' 4' Z" d res /1 57/67evC Phone 4'25'-gZ%z-
Architect Address Phone
Engineer Address
Contractor
_,,-/-r Address
Legal Description of Property (Give complete description from deed, tax receipt. etc.) P rcel Number
/�7 ? deg_ / /2/A✓C L✓r3T 4174/
Phone
Phone
o for - alo 3
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New ✓ Addition
Size of Lot
G et
Stori / Dimensions 2Li' x 31,(r9x icr et`c,e
Rooms Y, Baths as Basement ?Aar Foundation Const
Remodel
3
Moving Bldg. Zone / Fire one
Sewage System SP//- Const.
Fr., Conc.. Ba, etc.)
)-eT� Chimney -Fireplace
rfl sn Ft 7.92-17/ Valuation 96 DDU
wA
-/ /81!24 �Vt
i.4.
(Full, part, none (Kind) (Number
Heat. System Type of Roofing C.E/44/tel Ext Finish Ant Wall Finish S/fEL Tec
Use of Bldg. E3/1.2SJCC ( /, 4 Cdt er yt „ate A %T�%f.No of Units _Bedrooms
,9cv x/+1 /C2Cia g4mAfa -
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
I heresy certify infgrmation submitted is correct and
as showy.
ani r
Q—/r7..
there are
rete Li ens No
A
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Maned
i3/4z/n 02-tiver
no other structures located on this property except
er or Agent Date
A LAND USE OR"STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES,
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
S6
Your street- address will be 1 oC
Sewage Permit Number
Remarks
Issued
Building Permit
The zoneets
Receipt
ssued
Form 523 Bldg. Code