1979, 04-05 Permit App: N2518 Residence a —
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �// �-c�
GENERAL REQUIREMENTS PERMIT FEE 4v
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.
a 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.
J APPLICANT FILL IN BELOW THIS LINE 9 2/G, /'1 i q
Name of Owner 4444� 1.l.e1�y& 1 }../ Address '6[77 0 1 '� �L,/ Phone
Architect - 147,1 �&1 4, l L.l's!i Address Phone
Engineer Address Phone
Contractor ( /9 1 LiC Address Phone
Legal Desi ription of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lo ( Iz ( T 'c 4 v c r Af j1210 11 u Ed- ' J rel'-"
'•4 F j .iJ h. 1 0 ' ,— ''5:4 --it ' --/S .. ,r
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 411 # r`� Sewage System a onst.
/, , --i Fr., Conc., r. ;t(5.21,e
Stories Dimensions Z&X i Lel- �iX�I 14)�.j 0 Total Sq. Ft 73 ' Valuation
Rooms Baths Basement {�+A'Foundation Const.an 7 Z�f(1 Chimne Fireplac t7ii/L
f.--k,
Fu I, part, none] (Kind) q (N �mpb
Heat. System f4 _ tI ,Type of Roofing �+d� Exp. Finish 11i ,+e.). 't. Wall Finish 7.Z.. 'i"'
Use of Bldg./ Jam. Ls-WW1/Lj-- ? /p�(�v 4PI2JQt No. of Units 1 Bedrooms 3
r& OW ° 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.
State License No.
V9
NORTH i-z -oJ 40-A46-w f-- )E- ?
1.27 ,--;,14,0) Iv -at.
Ind. Ins. Acct. No.
1.31
RESIDENTIAL–COMMERCIAL
PX tvlis. 4121
I REQUIRED
(..: .
Plumbing Permit
Hcze,7_, ....._,..
� a Heating Permit
v► Imo, l ��I I in Sewage Permit
1
Plans Received
.¢—_ _ (V 44? 7j Plans Checked
}�4 � Plans Returned
I / Plans Picked Up
Plans Mailed 4—
ft•
i VC 1
SOUTH
r
I hereby certify information submitted is co ect and there a no ther structures 1 ated on this property except
as shown wae t i{r1 to 11
Or
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS A PERMIT.
(p71 `7 €t DO NOT WRITE BELOW, � THIS LINE /� �J l-)41"€"/
�
Your street address will be -ri //qr e/ �,�,CC� (wee— The zone s •lJ.��t'f C� /L-��
Sewage Permit Number Issued Building Permit t Receipt 0// Issued
Remarks � �/
I '`J (off
Form 323 Bldg. Code
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IiOMEWORKS, INC.
E 19306•lith AVE.
SPOKANE,WA 9921$
MN 124719
REVISIONS
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NO. DATE BY I OJ ELT !►..jj.}- L 17 I g
4111-4-1 vielAHo M E\V O E. fC. I i1 [/
8 DRMEB1 I C(1LE- ! -� MATERIAL
CHK'D DATE DRAWING NO.
TRACED APP'D ( 0
5