1978, 08-15 Permit App: N0124 Pool County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT tA.- 00
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
MRi�c5s. E !%3r Z- #' Skiph—Z-5-2:-T--/9a4-
Architect
92 -i9?4-
Name of Owner r ��� Address 3 Phone
Architect Address 591-047 Phone
Engineer Address /' Phone
Contractor PfEGEL(5(OPJ ® PAFir' 1 Address i tt 3/��//��n.'''4 5,214 Phone 535 -S1-2?7‘='
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 2354i 2.."- 3?z.5-
Lv 3(o' OF LOT' 9 4.ALL. LO'T /0 E. 31 oF LOT Iii RLOCk 2.L/ AF KbK6M p
T6 In)N S(Tr_
DESCRIPTION OF WORK: NewAddition Remodel Moving Bldg. Zone I Fire Zone 3
Size of Lot F/t k /30Sewage System 5�� ITE
(Fr.,Const.
Stories Dimensions ('7 X 34 Total Sq. Ft. Valuation ai
Rooms NIS-Baths Basement (\al- Foundation Const.. t L,wtTE Chimney Pia Fireplace NA.
Baths_.*I, part, none' (Kin ) ',A Numbed
Heat. System p Type of Roofin Ext. Finish P`1f T- Int. Wall Finish , A ' -1Tt
Use of Bldg. Ptr 1A-TE atue f#G foot_ No. of Units__Bedrooms IVA-
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 State License No.
0 LZ CANJ K/L-1
2 -3 Ind. Ins. Acct. No.
In RESIDENTIAL-COMMERCIAL
11�� '�, REQUIRED
r- 'Tto L'5 E Plumbing Permit
0.6i0 I
1 _ m Heating Permit
I us
1.50 - E N Sewage Permit
7 ��
Pi-rrfle86 -o
Plans Received
/-S•i 1 Plans Checked
r Sd ��l` Plans Returned
r Plans Picked Up
Plans Mailed
,� 89, - 2
1/S17S
SOUTH
I hereby certify`nfo`'f bit correct and there are no other structures located on this property except
as shown. , `c 7B'
•
.• ner or Agent G/Date j�
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 F . 113)Z 23 RP The zone is 1 C Rie-01- L"-'S
�1'�-At 14 B
Sewage Permit Number Issued Building Permit Receipt 53'/e Issued
Remarks
S
Form 523 Bldg. Code
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