1978, 11-06 Permit App: N1334 ResidenceGENERAL
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 laud
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
o •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT _
REQUIREMENTS PERMIT FEE "`°C7
PERMIT REQUIRED A land use or structure permit is required by County Resolution to erect a building or structure of any
Name of Owner v✓ �� s ,� .. \ / Address AG! -ee. 40 40V-41 - Phone
Architect Address Phone
Engineer Address Phone
Contractor Address ,/ Phone
I Description of Property (Give complete description from deed, tax rec>ipt, etc.) Parcel Number -
— .'1 ._- �I a i • --
4_o% 6 R/Oo,4 / 1,0vi42-7- 74i`o
DESCRIPTION OF WORK: New
Size of Lot J}
Stories Dimensi
Rooms Bathsr'R Basement
((Full, part, n
Heat. System Efr".1.7 Ty e of Roofing
Use of Bldg.[�1%1?L
X Addition Remodel Moving Bldg. Zone
f Fire Zone
Const
(Fr., Con ., Br., etc.)
Valuation -"5-34(44.49
Fireplace
(Kind) (Number
Inc Wall Finish -1-/(1M11-,
No. of UnitseLBedroo
%%/20i 1 >Q jLt )0404, J Sewage System s-4,4711r�-�
/1 yX S 14-..erflc ' )i: z / Total Sq. Ft
L✓ Foundation Const @�(►YL4�+ � % Chimne
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Ext. Finish
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
ereby certify informat
SOUTH
m
1s
submitted is correct nd there are no o ger st
State License No.
1-3. 4/ 3--a
Ind. Ins. Acct. No.
Cr"-RESIDENTIA1...;7)COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit-
Sewage Permit 1.4%�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
uotures located on thi prope
Date
CONSTRUCTION COMMENCES.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 15 NOT A PERMIT.
(Ur-, 74c
DO NOT WRITE BELOW THIS LINE
ty except
Your street address will be r , ./z97/,3-
Sewage
/zJ173Sewage Permit Number Issued Building Permit iv- 133
Remarks
The zone is)/f_44
Receipt 29A5 -Issued
Form 523 Bldg. Code
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