1978, 08-02 Permit App: N0063 Residence(f
i •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT s
GENERAL REQUIREMENTS PERMIT FEE CIOCIA
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 -hick 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 SPolfAl l� 9120 (0
Phone 924 -707'7
Name of Owner R.AYNknND S IEt; et_ Address ¥z.- WO 35-T4
Architect Address Phone
Engineer Address Phone
Contractor KAY M0te SIEEEA— Address t• IIIOG, .33T1* 992(UG Phone gag —7UY7
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel, Number 33542— 901 —9 o66
Lo? ci BLac It" z C44FsrERFLFLIa ADDrrIDK1 9061— gll)I-
jDESCRIY R/W R/W WIOFP- RK: NSO 3
CR� )i w Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 70. 3" X / 2R X /4S R7I X IG,I. S %1 Sewage System SEPT7c ConstrConc. Br.
F�
F., ,P�Metc.) 0
Stories p11 Dimensions 271 X 43/.+ 2.9 f X 32./ Total Sq Ft 1929 Valuation 4,1)/0(11 KW
Rooms _LL Baths R BasementFoundation Const r.ONGRETF- Chimney / METAI Fireplace ) M�TAJ—
Full. part, none (Kind) (Number
Heat. System FIRS F,/%• Type of Roofing C nMSk)SITIDN( Ext Finish LAT s/D/NG Int Wall Finish DLYWALL-
Use of Bldg.• PSE stn .t.iC E . — Q,, AQF. ArrrALl4Ep '^ No bEC-IC No of Units _Bedrooms 3
PLOT PLAN t
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 acd streets; (5) dimensions of buildings; (6) location 'of sewage sys-
tem and water supply lines.
NORTH
SOUTH
I hereby certj$y information sur matted
as shown
AAtiLest
Own r or Agent
State License No.
OkJNM,i.
Ind. Ina. Acct. No.
- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit -_
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
8/S /7i
Po-tt-t v
is correct and there are no other structures located on this property except
i
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/21727 Chi MAI DO NOT WRITE BELOW THIS LINE
Iour street address will be S, 3807 AA OFP/T SI R E -T The zone ti -s -511.461-rFkMII y RFS
Sewage Permit Number Issued Building Permit Or/673 J3 Receipt 11 t Issued
Remarks,
Form 523 Bldg. Code
1�
r
II am IraMin this residence fee mry amen penamal use anti II undicametearmal the STATE CONTRACTOR'S
LPCENS%NG LAW.