1979, 03-19 Permit App: N2460 ResidenceL
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 00
GENERAL REQUIREMENTS PERMIT FEE ..-S_.�______________
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. (later 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 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 y �;� / 6
Name of OwnerVtySII!2%%%V-Mj1, E39SE" s�Sz cess V110k q- SDe. Ke— Phone SIM t;0
Architect Address Phone
Engineer Address Phone
Contractor S A' Mg, Address Phone '—
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel NumberZ
l.0't aZ S.'.1v E%l t i -t iMb
NUAUWAY / (DTH 3
DESCRIPTION OF WORK: New �� Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot, �� x 1 O Sewage System ' M! �L Const. 5:9— ,etc.)
StoriesW Dimensigns 440 X h—� Total Sq. Ft.151S1_.l< Valuation 4��
Rooms .�Baths� L Basement Foundation Const.. Cp-br-- Chimney � Fireplace
pp Fu I, part, none (Kind) (Number
Heat. System p� fCiiJA, Type of Roofingskm P
Ext. Finis Int. Int. Wall Finish
Use of Bldg. No. of Units 1 Bedrooms '
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 acd streets; (5) dimensions of buildings; (6) location of sewage Sys -
teem and water supply lines.
(`7/ NORTH State License No.
V
SOUTH
I herebt cyl ify
as shown.
Ind. Ins. Acct. No.
— COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE 71T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
t_ &X //- DO NOT WRITE BELOW THIS LINE
Your street address will be 6 Q 11
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
Building PermitlY-
The zone is
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