1978, 10-18 Permit App: N1093 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 onwater 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 47235.
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 thestructure 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 1N BEL W THIS LINE �//
Name of Owner _ 2z.0 ,y� / L -.r Address /Z17 ' ea.. i1� phone �y-/ 3S O
Architect l� Address Phone
Engineer dell-----
Legal
f Address % .037 Phone
Contractor r G:d-s Address
Legal Description of Pr pert a complgte d942 escri.2
ti •rom de , t receipt, etc.) Parcel Nu
vY0137
T ' Phone 7-2$i3-250
er T4.4- 5o/
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. e Fire Zone 3
Size of Lot r 30 00 - Sewage System Const.
( , �'; 6 IFr., C c., 8r., etc.
Stories / Dimensions n ,/ A (/'/ r
d-'7 1� Y `1' � � � �'�. ' f 3 D Total Sq Ft �0 P valuation ��elbael
I
Rooms �Batha�/ Basement Foundation Const.
(Felt part none)) _ (Kind) umbo
Heat. System Type of Roofing -_ Ext Finish %-I// Int Wall Finish
Use of Bldg._
� i _.. ..�� _� No of Units LBedrooms A-7
Chimney tY�. Fireplace
�j50
J
PLOT PLAN
Draw sketch with dimensions shoving: (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.
N
-4
NORTH
x/30
33-1
/ye
33
t
/,h
I here
as shown.
SOUTH
nfosmation submitted is correct
and there are
State License No.
2Z 3-e/-pn / /7!l/2S „eg
cct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit iijGG4
no Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on t1 is property except
/0/10
7y
A LAND USE /STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 N771711.
10 1 DO NOT WRITE BELOW THIS LINE
4212_a // ;i...e/W
new or Agen
Tour street address will be
Sewage Permit Number Issued
Remarks
Date
Building Permit
The zone is SAW /,
Receip ., 1 Issued
/f
Form 523 Bldg. Code