1979, 02-05 Permit App: N1921 Residencer
0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE # 7B...iX
PERMIT REQUIRED. A land use or structure permit 1s 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 corrections 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 -hack 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
C+
Address d L/PR/✓E:C ri/✓E Phone enjt-4f3Z.gi
Architect Address Phone
Engineer Address }+ •• Phone
Contractor SY:ALER�,
O ONJ't Co. Address C•.1RO4 ElPrziv a7rvi/e Phone 9U-1328
Legal Description of Property (Give complete description from deed. tax receipt. etc.) Parcel Number (lQJ& 49 33SYz-9011/
for _/,, - ,6zd nK #7N ,fEtrrzz f •tan 4nn1 AL 9a 660o
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone 8
80LDa K /2$' o"
Size of Lot
Sewage System S Ccnat. �li'AA/e
e6'� IFr., Cencj� Br. etc4
Stories tDimensions 26 o5 YOfim �{Ot1SE)-I-2'2-0yK22-0�( Elp/LI) Total Sq Ft 44O ValuationTM"S�" •moo
Rooms 5 Baths Basement �ttLL Foundation �to^st�rr' GK �!)w7!'4ta �2 Mt;TA
ate C Chimney veplace
(Full, part. n 1 ��P Kind) (Number
Heat. System &FA Type of RoofingExt. Finish, Aka) -T-)11 Int Wall Finish I/ YtQ AL,
Use of Bldg. f JIPeNG6 kJ/47r4d %� 4c ye U v/It 7 eCK ATT No of Units J! Bedrooms
.Opo RI IQ EDI
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 and water supply lines.
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Owner or
D USE OR STRUCTUR
THIS IS NOT A PERMIT.
ON MAP z—C 71
State License No.
Ste-AG-tE L 3224
Ind. I s. Acct. No.
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit I5NIF_7c SON 1.64-
to Heating Permit yt e-7 Nip fire
D Sewage Permit OR'A/ MOH
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nd there are no other structures located on this property except
MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
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Your street address will be .S. 3819 MOFFIMT STREET The zone is q
Sewage Permit Number Issued Building Permit 1 / Receipt 1970 Issued
Remarks
Form 573 Bldg. Code
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