1978, 11-20 Permit App: N1578 Residence, Renewal of M0455County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 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. 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( Address
Phone
Architect Address ,Z- Y& . Phone %iia-StreRs-
Engineer Address reSAP3.5- Phone -
Contractor Address Phone
Legal Description of Property (Give comp ete description deed. ax receipt. etc.) Parcel Numbs-24/Sr/9- oVj
19 114 le"
DESCRIPTION OF WORK: New 7 Addition Remodel
Size of Lot /Ae 700
nes _Dimensions 3-4/ V �3 di
Rooms _L Baths Basement 000/// Foundation Const
�F Full, part. none _
Heat. System r 7.,/,; Type�of Ropey
of Bldg. '� &r of
Moving
1( BI Zone _i_._ Fire Zona
Sewage System a` ConsCil'ni c.)
rp� Total Sq Ft P2 0 P Valuation
Conc., B
L"m-.e.m.-4-
Chi mney441�^'® Fireplace /
(Kind) (Number
Ext Finish Q.1•+ -+`g Int Wall Finish
No of Units [..Bedrooms
/// (o a' PLOT PLAN
Draw sketch wl1th Nlmensions 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
Jj yvtaack
0 4E6-6-
I
E5-6'
I hereby certi
as shown.
s
N
y
State License No.
7 /-f 4 Ai/ -
Ind. Ins. Acct. No.
RESIDENT! - COMMERCIAL
REQUIRED �s
Plumbing Permit ����jj/�
Heating Permit cLC�
Sewage Permit d
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
oration submitted is correct and there are no other structures located on this property except
G? //-ao-r
r or Agent Date
A LAND USE R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
y -," DO NOT WRITE BELOW
TTHIS LI�N^E S 7
Your street address will bey)pp , / /Q h'F-IYvLLLQOC.- 1 ".(J 1 / The zoneci7{/"-7.C1-h2UAC-R'
Receipt /'&S I sued
Sewage Permit Number Issued
Remarks
Building Permit\
Form 523 Bldg. Code
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