1979, 03-13 Permit App: N2235 Residence, Renewal of M5670C
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR -STRUCTURE PERMIT F -1 -
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
1;I
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.
PPLICANT FILL IN BELOW THIS LINE
Name of Owner �� _.��� Address /W Phone 2 7.2 --.C..4--(7.5-
Architect Address Phone
EngineerAddress
.9.1P s r Phone
Contractor _._-1& ' Address Phone
Legal Descript'on of Property (Div, complete descri tion ffom a d, x receipt, etc. Parcel Number
DESCRIPTION OF WORK: New /' Addition
Size of Lot )�`� %_; 7j
Remodel
CSI
Moving Bldg. Zone d - Fire Zone \
Sewage Systert a. Const. - - rs-ct
r., Conc., Br. etc.) ac:
Total Sq. Ft. 7.77e Valuation 6C dd�
Chimney**®Fireplace / /
(Kind) (Number � e
Int Wall Finish
No of Units Bedrooms -J'
Storiemension" s c-f-adox� a 1��,.
Rooms __4e__I// i� Baths . Basement /-ce.cr Foundation Const
(Full, part, none
Heat. System [l° 7- Type of �R�oofinngg / Ext. Finish
Use of Bldg. �-iw t- CCA��. l
/— PLOT PLAN
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
to
y
NORTH
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 hereby��,3'fy information submitted is correct and there are
as shown.
a
N
y
State License No.
�K O!1! F;�
Ind. Ins. Acct. No.
(ESID D -COMMERCIAL
REQUIRED
Plumbing Permit ' 17,Et�
Heating Permit efr-Zr..
Sewage Permit L7-Cmr�`
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Owner or Agent Date
A LA ' USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE /
Your street address will be 2, ///( F(,tip-.q,f yy.�Q fit J r
�The zone is atitte.i ilE.L4-44+ar1.4[.(3-
Sewage Permit Number Issued Building Permit / Receipt 7 6,6, Issued
Remarks
Form 523 Bldg. Code
1
4, 77/051/
/ 2 3 ,Q /06.4.7
/776