1979, 01-30 Permit App: N1896 ResidenceCOW* of
Spokane,
Washinoon
Job #133
DESCRIPTION OF WORK:
New _X__ Addition
Remodel Moving . Bldg. Zone . 1
Basic 12E
BUILDING CODES DEPARTMENT,
N. 811 JEFFERSON, SPOKANE, WASHINGTON
9926W Level
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ------ 82_,.00
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. Con.
j struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 building (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_R.&RGefketrUetiOR990—.. Address P-.Q_s BX. 11121. _ Phone _028-361 0 -
Architect . Address__ Phone
Engineer_ Address Phone __
Contractor c ,.., , Address. Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number-
por of 2654 1 0�14-0R1 5-n1 1 R-1 530-1639 _
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.
M
NORTH
Attached
SOUTH
I hereby certify information s
as shown.
State License No.
_ _ _2 7 CF
Ind. Ins. Acct. No.
-00-
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
N
Sewage 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
i
Owner or Agent v w Date ,
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
6iK DO NOT WRITE BELOW THIS LINE ,.
Your street address will be
Sewage Permit Number
Remarks
Issued
14919 E. 21st
Building Permit
COMMENCES.
/y�
the zone is
Receipt I_q0_q_Issued
Lot- 21 Blk•
2 Vera Crest Subdivision
_
DESCRIPTION OF WORK:
New _X__ Addition
Remodel Moving . Bldg. Zone . 1
Fire Zone 3
Sizeof L t _ 12)lX140
--
Sewage System septic
const, frame
2mg
2x26 1780
(Fr., Conc., Br., etc.)
Valuation65_2000.00
Storiey Dimensions
72x24
Total Sq. Ft.
Rooms- Baths—
Basementfull—
Foundation Const, COnCrete Chimnepas
Fireplace—
(Full,
part, none)
(Kind)
(Number
Heat. System•lP PaaMpe
of Roofing shake
Ext. Finish plywood Int. Wall Finish
drywall`
Use of Bldg. �_,ingle
fam. res •
No. of Units 1 Bedrooms
ROADWAY R/W WIDTH JrZ
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.
M
NORTH
Attached
SOUTH
I hereby certify information s
as shown.
State License No.
_ _ _2 7 CF
Ind. Ins. Acct. No.
-00-
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
N
Sewage 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
i
Owner or Agent v w Date ,
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
6iK DO NOT WRITE BELOW THIS LINE ,.
Your street address will be
Sewage Permit Number
Remarks
Issued
14919 E. 21st
Building Permit
COMMENCES.
/y�
the zone is
Receipt I_q0_q_Issued
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