1978, 09-25 Permit App: N0746 Residence, Renewal of M1576—1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE 'OR STRUCTURE PERMIT 6-.2/ of
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of say
kind or alter any building or structure already erected, or to change a land use. Construction most 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 Const & Bus. Corp -RC Address R 0 Box 2704 T.A. Phone 838-6567
Architect Address Phone
Engineer Address Phone
Contractor Const & Buis Cnrp-RC Address P 0 box 2704 T A phone 818-6567
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 17553-1124
80 X 120' Lot 24, Block 3, Guthrie'G Valley View 5th Addn
East 19323 Nixon
DESCRIPTION OF WORK: New X
Size of Lot 80' X 120'
Addition
Remodel
Moving Bldg. Zone —L Fire Zone 3
SewageeSystem septic Const. frame
iFr.. Conc.. Br., etc.)
Stories 1 Dimensions 28' X 34' -'' X 10' Total Sq. Ft. 1 032 Valuation $44, 500
Rooms Baths1 Basement full Foundation Const rnnn rP tP Chimney fireplace 2
Will, part, none) in) (Number
Heat. System FAE Type of Roofing comp Ext Finish Ti -11 Int Wall Finish shcetreck
Use of elgg. SF residence Deck attrhed No of Units—Bedrooms
IN 65-bt
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage s
tem and water supply lines.
NORTH
see plot plan attached
/-.€jL.hcc-s FEJRAArt Na.
N` 1s7(>
SOUTH
- COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
in Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERM
oN M
I
Your street address w111 be _
6ewage Permit Number Issued Building Permit ,O 'Receipt s'z/4 Issued
DO NOT WRITE BELOW THIS LINE ,
E 932-3 /M YON AV&. f The zone 1
Remarks
Form 523 Bldg. Code
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PARCEL. # 17553-132-4
ADDESS:
1932.3 EAs-r NIXON
NOTES:,
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