1979, 05-23 Permit App: N3415 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 -
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0
GENERAL REQUIREMENTS PERMIT FEE .___ 6
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.
nspection: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 Owner7 (�ie�.Gi ,ddress a�-.3 /Lla>< /u3 / Phone ;722:+�C5 d&--
Architect ./-}� Address Phone
Engineer Address p.3F35'- Phone
Contractor ... ,4 _..-4 Address ,/� Phone
Legal Dggcrip ion of P,rope y.(Give complete de�iption fin deed, tgg receip etc.) Parcel Number (Fe..-cv-...c., - 099�r' j
!/�7.i .ir,�.:/ .47I /-5 tt�.., GJfZj o70-1
DESCRIPTION OF WORK: New X Addition Remodel
Size f Lot
Stories __Dimensions
Rooms Botha �
Heat. System Com. /ff7, Type of Roofing (?tnC Ext Finish 7 ///
Use of Bldg. ✓
Moving BI . Zone I Fire Zone 3
etc.)
Total S9 Ft aluation � cod
Full, part, none d Fireplace
IN b
Int Wall
No of U
Sewage Syste Const..
(Fr., Cont.,Br.,
Basement Foundation Const Chimne it 1
in (Number
Finish
Units Bedr ms
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
{kap
I hereby ce
as shown.
SOUTH
formation submitt d is correct and there are no other structures
er or Agent r/
WI
N
y
State License No.
Tod(
Ind. Ins. Acct. No.
,.c
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit -Trig
i
Heating Permit �yQ�c/tw�M,f
Sewage Permit C' ,c /l/r'`
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Date
A LAND US 'e R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
located on this property except
523 7
DO NOT WRITE BELOW TN15 LINE
Tour street address will kJ -/a 3 I I QF(RIC.t
Sewage Permit Number Issued
Remarks
/The zone is S re
M-3.1//
Building Permit(1 Receipt II0cf Issued
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Form 523 Bldg. Code