1978, 08-17 Permit App: N0255 Residence, Renewal of M1635• 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.-..
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
.rw 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 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 -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 9c2/6
Name of Owner 8/.1/ -Z ij, yin y( Address 6. Q57) 9 1S7- Phone QOR— d1•5:-1C-
Architect
45 ) 7T
Architect Address Phone
l Engineer Address Phone
/ •Contractor 13111F Address Phone -
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number / 7.57_5-".'i -0 3 / 7
L0 -t n , Sic 3 6-i)r1feLe 54ig-r)p
DESCRIPTION OF WORK: New /( Addition Remodel Moving Bldg. Zone ----/ Fire Zone s
Size of Lot
Stories
P3')'/14' 2./ y P2" Y/3) • Sewage System-56=pTlrC Const. F.P,l�1Y)E
xv7 �$ Total Sq Ft Valuation 4/6, �'k1'
L'V
D�G2ETE
a (�K 4 S� FX c2 Y ir., Conc., Br., etc.)
mansions 4/6 /111 gar
Rooms_ ths 7 Basement 5-11/1 Foundation Const
(Full. part. none)
Heat. System FA e/CC•Type of Roofing ('42)/Y1,O
Use of Bldg. J,d_.(�®?��
,2EP�
'7&) 5T
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Chimney (Ki Fireplace NCS
(Number
Ext Finish T 6j// Int. Wall Finish ney/.vel/
No of Units Bedrooms
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-
'722 /6 3 5—
CS
CSS eQ_ }q l.cAst-a.
I hereby cer informatioppp
as shown. J n //
Owner l/or 'gent
A LAND USE OR STRUCTURE PERMIT MUST
THIS IS NOT A PERMIT.
SOUTH
State License No.
Ind. Ins. Acct. No.
CESIDENJlw?- COMMERCIAL
REQUIRED
Plumbing Permit
iw Heating Permit
in Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
8/-2/ /77
ed is correct and there are no other structures located on this property except
-e,,-,• - S7/ 7/2g/
Date
E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Qw.rn
v
Tour street address will be
Sewage Permit Number Issued Building Permit
Remarks
DO NOT WRITE BELOW THIS LINE
‘77
e // 92d 5 Cl The zone is
Receipt 3/ Issued
Form 523 Bldg. Code
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