1979, 06-18 Permit App: N3748 Remodelgfr
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -7�
GENERAL REQUIREMENTS PERMIT FEE 'Z/ -J
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.
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 LCsi dQQp� hpVC/ Address /yrr5 Si ¥ ILvs14 phone
Architect J Address Phone
Engineer }' �9_- �Address .�/ Z7JPhone
gra(GContractor CC.'RMWW t y/y gee Address S/eLF/ mD/410}4/ Mt Phone, 747L1 C4,3 t
Legal Description o Pro rty Giv con Ie1e des iption from eed tax recerP etc Parcel Number - 2.
Tl` �zA u/%Z/) TRAM / �' Mw s A ,rtR�
Ai '. d e le � "e,i (,�dq i Apt+N e,k 'f e SIM l'' 4 e hers
DESCRIPTION OF WORK:New Addition Remodel Moving Bldg. Zone __—/--- Fire Zone —
Size of Lot Sewage System
ifs � Const(Fr.,/.tc ) '
Stories Dimensions �V 7 ' • Total SqFt n 1�, Valuation 0�
Rooms Baths / ''e rfoa Foundation Const r Chi ey r"k* Fireplace( �A
Fu I, part, n (Kind) Number
Heat. System Type of Roofing Ext. Finish 2 ' 848 all Finish'
Use of Bldg.($�47 & / ikn X /A✓ 9 aft . - No of Units _Be rooms
v PLOP+LAN
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
M»t 4,e /Q Mae / of 6tY0 t1 Amid
,a;t ,4 at ;iJ &fh (to
Je 4tca 4'ec. oMO Mt A)
!/bc/1 ,/'�/+ A heed t vie offset,,
I hereby cert
as shown.
SOUTH
State License No.
oK fl Asir RV 0,14S
Ind. Ins. Acct. No.
7 ZS -t9 Yb tastfri
a ..�'I,1WCYl/e7T COMMERCIAE
REQUIRED PE2ft1D
Plumbing Permit
w Heating Permit
Ito
Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nformation submittcorrect and there are no other structures located on this property except
Owner Agent
Xi
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7,9
DO NOT WRITE BELOW THIS LINE
Iour street address w111 be S. /'C 0S MG PON AL 1' e zone A
Sewage Permit Number Issued Building Permit N -374 ceipt dr Issued
Remarks
Form 523 Bldg. Code