1978, 12-11 Permit App: N1659 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT os
GENERAL REQUIREMENTS PERMIT FEE 78...Y
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ay
kind or alter any building or structure already erected, or to change a land use. Construction must conform with tt.
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 dlsturblt
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Rbgineer'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 912-0P
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Name of Owner 44./K L. J eaL6go Address A. 7Ro¢ f! giv n %)a/✓£ Phone 924-4328
Architect Address Phone
Engineer c Address Y' Phone
Contractor 1St!°.Alg20 CANtt 4' Go, Address VRo4 UP�i1�51Z 'MT/✓s phone 724'-43213
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number P7'N OF 33.$-4,2-901tF—go(ora
Lor -e2 — itneK 4/ /r/ ("Wester —("Wester ft ADP'. irPo,rAFIE `t 64—=-3rr9 jC
DESCRIPTION OF WORK: New X Addition
Remodel
Moving Bldg. Zone / Fire Zone 3
Size of Lot eilO.O I )' /Sq. (o f Sewage System ... erg/6 /Riiqc ponsL `irAF/E
Fr., C c. Br
Ft 463& Valuation# SOpOO °'
Chimney Fireplace 2
Chimney/
md) (Number
Int Wall Finish t� VVALb
No of Units.Bedrooms 3
t R f n t rf 1 i etc.)
Stories.LDimensions 00 X26-0 6,A,Sur t 220 X Z2-o"Q,A,o4'Total Sq
Rooms Baths 2 Basement YtL Foundation Const emeln/C2F.r5
Fu I part no
Heat. System A, CLae Type of Roofing (1/21, 70- Ext Finish Wen,
Use of Bldg. CES{DAAYG� iv/A.riACLACP 4:4Z:466— no PPtikS
PLOT PLAN
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 anwater supply lines.
�0!
NORTH
SOUTH
.s show
mitted is correct and there
State License No.
Sc -A1- 6f -L322 4
Ind, Ins. Acct. No,
3/1340 fpm 410 k
t
t RESIDENTIAL COMMERCIAL 0
8¥(zq
REQUIRED icit811?
Plumbing Permit b/VESTSOfV
Heating Permit LIth/7ttr& /
Sewage Permit cmtew INCH
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Date
A.LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
01/ M02 1 z—lI 18
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
S, 3818 KoFF, rrk(n AzD
The zone is -SYNC LE WA -M19 firs
Receipt Issued
Form 523 Bldg. Code
bd.
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PLOT PLAN
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