1978, 11-15 Permit App: N1463 ResidenceCounty of Spokane, Washington
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.
1 APPLICANT FILL IN BELOW THIS LINE
)Name of Owner //!r C. / 09F7 / if., -401r) Address Z 3 a o phun//6/
Architect Address Phone
EngineerAddress Phone
Contractor p e_7- 9 CO Address ///23 C 3O» phone 9 >t /6/
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number OfG44— 0 30.3
Z -o r to
aL EC / /12/ss. /40‘.4.5
DESCRIPTION OF.»ORK:
Size of Lot X
Stories/ Dimensi
Rooms ((((((6, Baths
New A Addition
Z-5
Remodel
at, to
Moving Bldg. Zone / Fire Zone
Sewage System ,5F�9X? Const
�' bta Valu tionCongtc
.)
Total Sq Ft Valuation l�Il
Chimney/7,47$G Fireplace
(Kind) /(N bar
Int Wall Finish 417
BasementFoundation Const
I, part. none /�
Type of Roofing eff49iY
Heat. System G.4-5
Use of Bldg.
e
15P6/c.) So`
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
H
NORTH
ett NC.
, Finish — //
.L, _.1 ' ' ran
PLOT PLAN
0 of Units _Bedrooms J
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) )Qcation of sense sys-
'TGAl
AL -7-7--/3 cfl-O
SOUTH
State License No.
Z GT -AG-,
Jc
41,27 Ins Acct. No.
70 79
RESIDENTIA
COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb a tify i ion submitted tis torr and there are no other structures located
as shown. / / S_
Owd r or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
(j 74/La DO NOT WRITE BELOW THIS LINE G 3
Tour street address will be [- , /.0/1/ _.4-4-Ct �ii� /� The zone big
Sewage Permit Number Issued Building Permit iv Receipt C//3 Issued
Remarks
on this property except
7g
Form 523 Bldg. Code
J-....- ..._ ,
4/02 'D
DELTA COMPANY
11123 E. 301h 1;.
SPOKANE, A OOHS
920-1514