1979, 05-23 Permit App: N3412 Residence1
i F
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ov
GENERAL REQUIREMENTS PERMIT FEE 919
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 oo 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 42235.
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. 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 _ �� � � - _ �• ddress Phone 7'.2 5 '-''
Architect %1�-- -- ---_ Address Phone
Engineer Address ai.S� Phone
Contractor ��sn.../. Address ,,� gp��ce
Legal Descrip ion offPrope% y (Give c , descri o from de ax receipt, etc.) Parcel NumbLfr •0 <5':7 - i^7 "7C37
DESCRIPTION OF WORK: New t— Addition
Size of Lot
w
rim=�, •ns
Rooms _ 4. Baths -ullBasement
se e� t - Foundation Const
(Ki
Remodel
Moving Bldg, one
Fire Zone �-
Sewage System • Const.
Sq Ft ./PSy�Z.� (sF,�/8
Chimney
11F
r., Conc., Br., etc.) ,.�
Valu tion v C-• e Chl
umber
fireplace
Heat. SystemType off Roofi Ext Finish T—/// Int Wall Finish 4:>141.1=a9Use of Bldg. 11- a2 rie,,t_ad %re-..,c�[ No of Units Bedrooms -�
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.
Ul
H
NORTH
QI A14 OSA-.
I hereby certi a'
as shown.
Orr
SOUTH
ormation submit ed is correct
6t,
Owner or Agent
State License No.
®l{ riLRc
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit � �q
//.� /
Heating Permit //A1/4/en
�� `c/ e n c/o.0 /r
Sewage Permit L:-.fAyrrY
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
3 -
Date
CONSTRUCTION COMMENCES.
Your street address will beg 11,3215 F QeORtc rThe zone is S FR
Building Permit/V(540A Receipt 11 of
Remarks
Sewage Permit Number Issued
Issued
Form 523 Bldg. Code
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