1978, 08-07 Permit App: N0008 Residence1
County of Spokane, Washington
RUILDIN0 CODES DEPARTMENT.id
N1 811 JEFFEaS�. SFeKAN€, WASMIIMiTQN 942411,
0
APPLICATION FOR LAND USE' OR STRUCTURE PERMIT f7 Q
GENERAL REQUIREMENTS PERMIT FEE UU
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 subiect to inspection.
WATER. Water supply must bo approved by the County and state Health Depertments,.Where ■ork onvater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's office.
SEWAGE SYSTEM. Permits are requlred in all cases.by County Resolutions Nos, 45-1334111147245.
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 aro 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 OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance moat 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 / APIte hi, glemer,rnn
Address Cis. 7Y04- I/P/.'/ ✓ER 27]?i ve
Phone 9e4-4t3e8
Architect Address Phone
Engineer% • Address Phone
Contractor Je9tg,t zeS OWn CZ, Address e7&&C4 ficrefe.rY DRtvt' Phone 924-4, 8
Legal Description of Property (Give complet description from deed, tax receipt, etc.) P rcel Number
for -#1 - >;3tK. # / /,v CU/&i i map Apcv, t', f /l *.9- 9a 0-17
DESCRIPTION OF WORK: New X Addition Remodel Moving
size of I/ot _ 1 %/ x 90:0/ Sewage System
Dimensions IX 3OI OP 0.A. / ea6 '- Zff(Clrl(20/ Nr GAT, Total Sq
Baths / Basement ¢L�/j4G +Founicatlon Coons Lf' r f�acme
(Full, part, no i /r� WOOL) Heat. System$ Lt1.€C. Type of Roofing (.C.' 'n4'/'iZOn1 Ext. Finish WOOL)
Bldg. Zone _ / Fire Zone 3
' CConst. ��E
(Fr., C6�nn((c., Br., etc.)
Ft /7 n6 Valuatidh 5 Ccs °2
Chimney Fireplace
(Kind) (Number
[[aa Int Wall Finish Y1'l/At/e
Use of Bldg. 1L • CE 1 r - ' .3 p o t%' �,�G - No of Units _LBedrooms 2,
PLOT PLAN
Dra- 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
Siete
frr fi7 Citet
CPC -Of
(PC AK.)
SOUTH
m
N
y
State License No.
SG-AL.4r-4 322c/"
Ind. Ins. Acct. No.
3/A54o
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Perni ��pp
Heating Permit I Locr etv if 7Ta.
Sewage Permit ` ^`(O4.V (.u?4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tion submitt:d is correct and there are no other structures located on this property except
_EWS. ► PLt
Agent
A LAND USE 0 STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 4. NOTA PER IT.
' 0 . e et DO NOT WRITE BELOW THIS LINE
£ i,
Your °stye add esa. will be -,:aa�i- a..
Ili�it��
Sewage Permit Number Issued
Date
CONSTRUCTION COMMENCES.
�, The zone is
Building Permit -000p Receipts/ Issued
Remarks
Form 523 Bldg. Code
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