1978, 09-25 Permit App: N0748 ResidenceJoil
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County 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.
NATER. Nater 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 Const. & Bus. Corp - RC Address P.O. Box 2704 T.A. Phone838-6567
Architect Address Phone
Engineer Address F Phone
Contractor Const. & Bus. Corp - RC AddressP 0 Box 2704 T.A. Phone 838-6567
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 17551-1428
Lot 28, Block 4, Guthrie's Valley View 5th Addn.
East 19325 Main A-,7p-nilP
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone I Fire Zone 3
Size of Lot 20'X132. 28' X 120'X68. 9' X118.9' Sewage System SppticCor., Conc., Br., etc.)nst. framP
/F
Stories 1Dimensions 28' X 34' 8' X 10' Total Sq. Ft. 10 12 Valuation
Rooms 5Baths 1Basement full Foundation Const.r'on 'I t_P ChimneymaSnn Fireplace
Fu I, part, noneT- (Kind) (Numbs
Heat. System FAE Type of Roofing comp Ext. Finish T1-11 Int. Wall Finish sheetroc
Use of Bldg. SF residence, deck attached No. of Units _Bedrooms
f".1 W 60' PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existinand
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water sunoly lines.
NORTH
see plot plan attached
KV-- F LIK,
R 13 C,S
SOUTH
A�D .
State License No.
CO-NS-TB-R240P5
Ind. Ins. Acct. No.
SIDEN 1 L - COMMERCIAL
REQUIRED
Plumbing Permit
iw Heating Permit
1s
N 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.---) ,I N O . )/I If /I - ._ ,.,-A-M
01
�,---Owner or Agent `-- Date I/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. I
THIS IS NOT A PERM L/ 9
OVI 6T) DO NOT WRITE BELOW THIS LINE _4C
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Your street address will be V-- . r
Sewage Permit Number Issued
Remarks
Building Permit
The zone iss)
Receipt ?! Issued
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