1978, 12-11 Permit App: N1658 Residence3.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT on
GENERAL REQUIREMENTS PERMIT FEE 78
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 most 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 bhgineer'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 / ANI< L, &ICA LR&,
PO Address 7SO4 //F2i✓E.t' �7r✓6 phone 9'2 - ¢JZA
Architect Address Phone
Engineer cAddress p 7-� Phone
Contractor ScCALEzo CONY, Co. Address ,7204 Lf/�Ri✓FK Thphone 924- 4 32S
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 3 33-42 - ¶o/c -
Loy- #5- Z3LOCK fl /N CResraa pap AarYA/, — e,Pori»Ne ate yti
DESCRIPTION OF WORK: New X Addition
Size of Lot 8%. 93' K r28.0 i
Remodel
Moving Bldg. Zone / Fire Zone 3
Sewage System IC ZZ'(K Const,r4A/C
t kale
C n Br., etc.)
/t
Stories / Dimensions orkzGiOrr elkkX�aSL -j. Z21OMx22-fO"OA.&An• Total Sq Ft i�3s Valuation 500
Rooms Baths 2 Basement tad. Foundation Const �D.�/G//,E%� Chimney ca., Fireplace /2
el (Kind) ^ (Number
Heat. System/3 E'EC.. Type of Roofing (:C9A t'O. Ext. Finish P% I7D Int Wall Finish O aKWALL
Use of Bldg. ,4',rio ince w`A'rr4O/5P &AN11 fig
1 /?Gd 5a
(Fu(1, part, n
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No of Units1.Bedrooms 3
PLOT PLAN
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
COMMERCIAL 8,25
REQUIRED ethane
Plumbing Permit l/er.S.Ol7(i4ri'Jf7
w Heating Permit,�L/N/rtb {NEI.
N
Sewage PermitC VDNi✓ /A/CH
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
bmit is corre.q and there are no other ctures located on this property except
OagJ ma /t,/ 78
Owner—. Apia Date
ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
0?J MP' 12-11=77 DO NOT WRITE BELOW THIS LINE
Your street address will be V. 3 8 1k,f ,4Z)
Sewage Permit Number Issued Building Permit
Remarks
The zone C/is zthi G, - ro4191 Rai
Receipt 11. % Issued
Form 523 Bldg. Code
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SCALE: 1/41= 11pd
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