1979, 03-28 Permit App: N2401, Residence, Renewal of M16301
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $54.00
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
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
Name of Owner (inn st & Rtes Corr Rr AddresQ f1 Roy 2704 T A Phone RRR-6567
Architect Address
Engineer Address
9 9
Phone
Phone
Contractor C'nnst & Buis Cnrp PC Address P 0 Rpx 2704 T A phone R1R-6567
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 17553-1321
Lot 21. Block "i, Guthriec Valley View 5th Arkin
DESCRIPTION OF WORK: New XXX Addition Remodel
Size of Lot 80x129
Stories 1Dimensions 28x34, 8X10
Rooms 5 Baths 1 Basement full
—WO I, part. none)
Heat. System FAE Type of Roofing Comp
use of Idg. SF residential—c&-e4
rr
Moving Bldg. Zone L_ Fire Zone
Sewage System septic onst. frame
(Fr.. Conc., Br., etc.)
Total Sq Ft 1032 valuation $47,000.00
Chimney mason Fireplace 2
(Kind) (Number
Ext Finish T1-11 Int Wall Finish sheetrock
Foundation Const concrete
st
PLOT PLAN
No of Units _Bedrooms 2
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
y
NORTH
SEE PLOT PLAN ATTACHED
SOUTH
State License No.
FARPRW9 240P5
Ind. Ins. Acct. No.
371522-004
RES/ IL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit --
aSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hi ebbycertify info oration submitted is correct and there are no other structures located on this property except
as shoCi�`'r /7e
Qt (71,40 .3--7f-79 •
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.�
544,?•%%/l1 1 . DO NOT WRITE BELOW THIS LINE )
1
Your street address will be C- / 93es, 7 C 64� � //?? / �((� pp
�� The zone is�l./14-! (-//%(LG I "../C /-
Sewage Permit Number Issued Building Permit Receipt 74-28- Issued
Remarks 111
Form 523 Bldg. Code
co
0
0
n!
1010
P
C /0 ;j
)I000 GALLON TAN K
jsx'd
14.50+-- 66,50"
NIXON AVENUE
SCALE l`=20'
IFGAL
LOT 21, BLOCK 3
GIATHRi S VALLEY
VIEW 5TH ADDN.
PARcec, ,d-
17ffl-13.2 /
ADDRESS
EAST 19307 NIXON
NOTES
CONCRETE DRIVE To
(3E 10X50 -
CONCRETE WALK
AND DR;VE To GE
4",AB0vE GRADE
JOB 538
4f)