1978, 11-27 Permit App: N1554 Residence, Renewal of M1634Ip
Canty of Spokane, Wastgton
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
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 grcf;7 P -S
Name of OwnerCnnStriieti C7r1 r4 Rosi nes Corn
%Adfiresc• P. 0. Box 2704 T. A.
Phone 838-6567
Architect Address Phone
Engineer Address Phone
ContractorClmstrlu`tion r4 Rosiness Corp —R WddressP n Rox 7704 %r T A Phone .818-6567
Legal Description of Property (Give complete description from deed, tax receipt etc )
-Lot #3 Block dk4 Guthrie Valley View * 5th Additinn
Parcel # 17553-1403
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 80'X 130'
StorieWE Dimensions 28' x 34' . 8' x l0'
'Rooms 5 Baths 1Basement Full Foundation Const
(Full, part, nonce
Heat. System Elec. FA Type of Roofing Gump
.Use of Bldg. SF residence, deck attached
Moving Bldg. Zone —/ Fire Zone 1
Sewage systenSepti e Tank eonst. Frame
(Fr., Conc., Br., etc.)
Total Sq. Ft. 1032 Valuation44 950 00
Chimney 2 Fireplace 2
(Kind) (Number
Int Wall Finish SheetrOck
No of Units_ Bedrooms _2
Concrete
Ext Finish T-1-11
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of exi
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of se
tem and water supply lines.
NORTH
r RESIDENTIAL — COMMERCIAL
R5PX-Ae.c5 fl -/6S9
See Plot Attached
State License No.
CO-NS-TB-R240P5
ing a
ge sy
Ino, Ins. Acct. No.
EXP/RSD -/e;"4"2.5-
(A/
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W 14.1.. OR/n/& /n/ Ate#0 copy
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
.I ttttf�reby certify in/ratio submitted is correct and there are no other structures located on this property except'.;
as shown �/° / '
/-027-7S J
Owner or A en • Date `
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
69--m✓ 74141Q-0 DO NOT WRITE BELOW THIS LINE
, B
Sewage Permit Number Issuedd Buil ng Permit
Remarks
Your street address will be
The zone is![��a.I A.(,l,/,4a214-
Receipt 9,2, Sy Issued
Form 523 Bldg. Code
1
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VIEW 571. A0o4.
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