1978, 06-28 Permit App: M6931 Residence County of Spokane. Wasialigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / j U=a
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 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
Hanson Const. Co. N. 5309 Sullivan Rd.. Phone 928-7456
Name of Owner Address
Architect Same Address Phone
Engineer Address Phone
Contractor ''ame Address I
Legal Description of Property (Give complete description from deed, tax receiet, etc. � --
Lot 9, Blk. 4, Riggemont Estates Add. No. 2 Subdivision in the N.E. k of sec. 25,
T.25N. , R. 44 E. W.M. Spokane, Wa.
P/0) ,
DESCRIPTION OF WORK: New X Addition Remodel Moving : .g. Zone 1Fire Zone
Size of Lot 105 x 205 x 166 X 225 IP frame
�l 2 9x17'-8" Sewage s e i1: oast.
Top 1 x4.0 plus Const.Conc., Br., etc.)
2 Ground fl. 26x 45 plus 9x17'82#-_)85(3V Total � ' ,
Stories DimensionsSq. Ft. ► Valuation 90 000.00
Rooms 9 Baths 3 Basement full Foundation Const. poured. conc. Chimney Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System Elect. F.A.TYpe of Roofing Shakes Ext. Finish siding Int. Wall Finish dry wall
Use of Bldg. Residence) C(/y No. of Units)Bedrooms _4
f 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL — COMMERCIAL State License No.
HA-NS-DC-257-PU
Ind Ins. Acct. No.
SU ---� _ 367-0$9-00
r. a REQUIRED
G c C
`a`. rn w Plumbing Permit
m Heating Permit
m a
cn v, Sewage Permit
-1 -1
Plans Received
re/vE Plans Checked
Plans Returned
4
Z Plans Picked Up
1 Plans Mailed
1 .
SOUTH
I hereby cet I y inform4ation submit d is correct and there are no other structures located on this property except
as shown.
► J� tomn(.f Nlat,�--- C/Z /8 //8
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Owner Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be L / ). r, _ ` !A- /I& 1 The zone /�_44L. '_ ', -���'
Sewage Permit Number Issued Building Permit /1/443/ Receipt ff s:-ed
Remarks
617 --/K.90,
Form 523 Bldg. Code