1979, 03-28 Permit App: N2398 Residence, Renewal of M1577County 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 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
Name of Owner CCM at S R„G Corp PC Address P.O. Box 2704 T A
PhoneR32=6567
Architect Address- , Phone
Engineer Address - Phone
contractor Const. & Bus. Corp. RC
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 17953-1409
Lot 5, Block 4, Guthries Valley View 5th Arlrin
Address P n- nnx 9704 T A Phone838-6567
DESCRIPTION OF WORK: New XXX Addition Remodel MovingBldg. Zone 1 Fire Zone 3
Sewage System septic CConst, frame
(Fr., Conc., Br., etc.)
Total Sq Ft 10"2 Valuation$47, Osn 00
Rooms 5 Baths 1 Basementfll Foundation ConstCnnr•retChimne Fireplace 2
(Full, part, none)ua
m (Number
Heat. System FAE Type of Roofing =COIlip Ext. Finish T1 —1 1 Int Wall FinishSheetrnnk
No of Units _Bedrooms 2
Size of Lot 203c130,
Stories 1 Dimensions 28x34 , 8x10
Use of Bldg. S.F res J R-Pes rill
as/) GO'
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SEE ATTACHED PLOT PLAN
07),
State License No.
CO—NS—TR—R240P5
Ind. Ins. Acct. No.
371522-004
ESIDENTIALI— COMMERCIAL
REQUIRED
Plumbing Permit
rs Heating Permit
NSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here p$ certify information submitted is correct and there are no other structures located on this property except
as shown.
/at; 0 -140 -7 -Ly ' .1 -0 -2? -79
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. t
THIS IS NOT A PERMIT.
1/11,0 DO NOT WRITE BELOW THIS LINE (-7 q'
Your street address will be 3i� /�li�l.//-7�ci 2 3y The zone is(S�7'1 P 'E---14�""
Sewage Permit Number Issued / Building Permit)\I , Receipt 792.?c"--- Issued
Remarks 1
Form 523 Bldg. Code
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WOO GALLON TANK
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ID'
28(4;5
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NIXON AVENUE
SCALE tea aot
LEGAL
LOT -5? SCOC. Fir 4-,
GUTHRIES VALLEY
VIEW 5TH AODN
PAeCOL 4-
17553 - /yos
ADDRE5S
19312 EAST NIXON
NOTES
A. CONCRETE DRIVE ro LSE
I o'x so •
a CONCRETE WALK AND
. DRIVE TO WE 4"
ABOVE GRADE
Ciao) CBC - RC
JOB 539