1979, 03-23 Permit App: N2382 Residence110
County 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 mast 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 easement& 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 OwnerkWkinOCA CDI 4J< Pt1,t) Pi Address pOH 32 A! ! 1 phone 147-005 7
• Architect - Address Phone
Engineer - Address Phone
Contractor Address -_-- Phone .74 7-W3
7
°it 1.4 1.00 Mom Olire
Legal Descriptigp of Prope (Give complete descr"ptil� fror� deed, tax receipt, etc.) Parcel Number •Q�fj—�% (19 ,�S/?
Lt) -1-6 1 L f pi nes l es+ �rxG�'i-H o h (� 0(f
ROADWAY R/W WIDTH
DESCRIPTION OFWORK: New Addition
Size of Lot e_n ! )t )1a )( 87 )t /a ki
Stories Q .Dimensions
Rooms _�2_ Baths Jiwn
r, ry ,
Heat. System
Use of Bldg.
U
(oq0
Basement 1jl�A)Q�_ Foundation
one'
Remodel
Moving Bldg.
,Zone
,Fire Zone 3
Sewage System .;tea L,e-oust. Gram P/
(Fr., Conc.. Br., etc.)
,,
(� Total Sq. Ft Valuatio
Const 0,06o-relit)
Chimney (Kind)52at Fireplace N ,,��L
Ext. Finish 01(1A4/000:1Int. Wall Finish n► i2/2-
iym
Type of Roofing Eo /TIP
PLOT PLAN
No. of Units Bedrooms
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.
sk
‘k\
NORTH
ow/ att&cd,
I her
as shown.
y i c/7
on
Owner or �f7
A LAND USE OR STRUCTU
THIS IS NOT A PERMIT.
SOUTH
itted is correct and there are no other structures located on thisproperty except
*-37?
State License No.
Pa- r Dv)
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Date
E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
-7?
DO NOT WRITEJELOW THIS LINE
Tour street address will
Sewage Permit Number
Remarks
be /6
Issued
The zone is
Building Permit Receipt
Iss'ed
Form 523 Bldg. Code
6
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