1978, 09-25 Permit App: N0747 Residence• 4110
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE 1
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 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. 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.
s
nd
ents
hlareVenforce ble.throughrs civiluld check action. Countysions of Officialsocanants or not bringdactionntosenforcemcovenantsing with the or dedications.
whiAPPLICANT F .LOIN BELOW THIS LINE
Name of Owner Construction & Bus. Corp -Address P. O. Box 2704 T.A. Phone838-6567
Architect Address Phone
Engineer Address ), a` C) Phone
contractorConst. & Bus. Corp -RC AddressP.O. Box 2704 T.A. Phone 838-6567
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 17553-1402
Lot 2, Block 4. Guthrie's Valley View 5th Addn.
N. 207 Hodges Road
DESCRIPTION OF WORK: New __X_ Addition Remodel Moving Bldg. Zone _____L— Fire Zone 3
Size of Lot 50 X 132.38X108.90X 120' Sewage System Septic TGonst.
1Fr., Conc., Br., etc.)
Stories—LDimensions 28'X 34' S' X 1 n' Total Sq. Ft 1032 Valuation 44 500
Rooms 5 Baths l Basement full Foundation Const.. concrete Chimney mason Fireplace 2
(Fell, part, none) (Kind)Numb
ck.
T1-11
Heat. System FAE Type of Roofing comp . Ext. Finish Int. Wall Finish shee ro2
Use of Bldg. single fam. res, deck attached No. of Units Bedrooms
N w 6o'
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
see plot plan attached
IcE-19LA-6E5-- FFMAtir 1)( -
I‘A P /37h
SOUTH
State License No.
CO-NS-TB-R240P5
Ind. Ins. Acct. No.
L – COMMERCIAL
REQUIRED
Plumbing Permit
n� Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown
Owner or Agent
_2.4-) f/73
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour sir'41t adre'ssl iii 2.,8 -7 Hno6gs j A The zone is $t WIL. FAMILY .
Sewage Permit Number Issued Building Permit Receipt 7.z/e,Issued /7 OD°
Remarks
Form 523 Bids. Code
1
501
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4
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Gurt42.16'S ✓&3E.LEy
VIEW 5r'4 ADDA'
De faC. L1*11553-IgD,Z
ADDi2ESS;
oR-r ►+ '2,017
1-400 GES
NOTES:
CONC2 E TE
DRI VE / Ay To SE
I o' Z.2'
I o8.go'
' HODGE3 1204CJ
SCALE