1979, 03-29 Permit App: N2396 Residence•
E" s
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 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 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
Name of Owner
Architect
Engineer19$
Contractor
Legal Description of Pro• = (Give complete descri
c"f E r (3 6aj!I Address Phone
Address
SArAlleitsieg0W40
Phone
CdoPre de a Address
etql° phone Zit
. W ® / Address C�4 Phone WV -•3 2Vi
7 0.
ion
from deed, tax receipt, etc.) Parcel mber
.7fiffir. eV- t✓4,1#4}‘X.,77 d2 3 _ ..zc-4.3.
DESCRIPTION OF WORK: New AdditionRemodel Moving Bldg. Zone _
Size of Lot //6 *.x /s-e)a ?s-• X /60 •
s�P1n 4'2xa8 asx •
StoriesDim sions v tp Total Sq. Ft
Rooms Baths2 ' Basement YQNQ Foundation Const.. ��
nCZ'-`� Chimney
(Full, part, none
Heat. System4/4. eLeer Type of Roofing „5,/mss,: Ext. Finish"w� Js
Use of Bldg. Ra-5.1M9‘0,7",444...i C L.-,tt
c6s0 IOW
Sewage System
•fEiPlse
PLOT PLAN
Fire , -one
ryonst. 4/
( Fr., Conc
Valuation
Fireplace
(Kind) (Number
Int. Wall Finish Go -te.4L
No. of Units _Bedrooms
3
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-
tem and water supply lines.
NORTH
22- 3 -a/
c) -
r
I hereby cert
as shown.
SOUTH
RESI
REQUIRED
MERCIAL
Plumbing Permit
�w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
or tion su is correct -and there are no other structures located on this property except
Owner or '"nt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
;5 / DO
OT WRITE BELOW THIS LINE
Your street address will be /
Sewage Permit Number Issued Building Permit
Remarks
6
The zone is
Receipt 79 �J� Issued
Form 523 Bldg. Code