1978, 08-17 Permit App: N0253 Residence, Renewal of M13640 11
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 nay
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the S
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. .5
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 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
'/92/6
Name of Owner 6,T)/ ,s-.J7EV/.V 1/ Address f 9SO C � 1 ;ter Phone 9 -01S -41±S -2,'T
Architect / Address Phone
Engineer Address Phone
Contractor 5/9//m E Address / Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number / 7Ss' ' " /'D9
L&1 9 ex .d/ CT U'ff/.L/6-n 1 5;9, f I DO -
Valley ,ew
DESCRIPTION OF WORK: New 2( Addition Remodel Moving
Size of Lot / Z/)"X RS'x' i2"), 5e4A XS.ezwa Syst
Storie
Roo Bathe Basement 1:70//Fu I, pan, none)
Heat. System Type of Tooting
Use of Bldg. e5 , w, r• Q/ Q e
W so' J
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
zz
Dimensions %/%')C 40•Y x 17'IC -der Total
Foundation Const CDA edeiErE
Bldg. Zone / Fire Zone .3
em oePCConst. F.e/
ern -LC. /Y)Ir
8 (Fr., Conc., Br., etc.)
Sq Ft /AY/ Valuation at-.422-100Chimney %)l0 Fireplace /Nn
(Kind) r�11 (Number
Int WaII.Finish
// Ext. Finish
r0.C%n a ,tache
NORTH
No of Units _Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of exis
lines and streets; (5) dimensions of buildings; (6) location of sewa
Rep lac -es
M 1344/
got attac.eQ,
IR est--- P.levy ,
;:so /4
hereby certi
)e as shown.
SOUTH
Information, tted 1s cor
Owner . Agent
A LAND USE OR STRUCTURE PERMIT
THIS 1S NOTA PERMIT.
Your street address will be F P:121ar 7,v.e e17
Sewage Permit Number Issued rBullding Permit 1/
Remarks 0
RESIDENTIAL COMMERCIAL
' REQUIRED
Plumbing Permit
wt Heating Permit
NSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ect and there are no other structures locate on this property except
Date
ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
The zone isA(_9Lf.(t'.
Receint.53%t9 Issued
Form 523 Bldg. Code
rat,'
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31'
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11