1979, 02-28 Permit App: N2117 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ODL e2-
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 THISLINE
Name of Owner IIIH. t/' a../, _ Address TI 3I l 1 1- Phone 4,L
Architect 1t Address Phone
Engineer Address Phone
Contractor -44I44/ ,ee ( IQ/- Address i i Phone I
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
i_or 1 l 1 4 I v �-r i I )t 4i)3ts 1 spae- lU
r eerier c -z-67 .4( ---51- DSI G.
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg.�� ZoneDr� I Fire Zone
Size of Lot 1 ti..a• 6p !(�Z A.-�1 X HA Sewage System �v� 1 re, Cons. c B 4 etc.)
Stories 1 Dimensions`Z'fXZIO -7"1� h'XII Total Sq. Ft. I Valuation
it
Rooms Baths- Basement' A Foundation Const.CP iA / _. (1247 Chimney Fireplace
Ful, part, none (Kind) ii (Numberr
Heat. System Type of Roofing Ext. Finish ) Int. Wall Finisht +r2
Use of Bldg.�l j�QYllll��' ' /jr' 1L�'0 � ) � No. of Units!Bedrooms _3
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.
' ,y NORTH State License No.
qin(J� �U i2 c fU z-z-- -el -I-1-D-MEwI lieforg Ino. In Ac t. No.
-zi,F � ATz. 1-4 ltd /0 /, ;`� '�
c-oLt• .4 RESIDENTIAL-COMMERCIAL
4V-' 1 � REQUIRED
GAL.t4440/ 4C Plumbing Permit
;Afi'I nal,— — '-, , * /A140 m Heating Permit
m Welt Li ti/5
to .p �j N Sewage Permit
I �1�Y O .�i i 1�0 I Plans Received
<40/ I( Plans Checked
\ Plans Returned
\\\ Plans Picked Up
Plans Mailed
?!tel t '
{/ S
`� 'j �I /
ml - SOUTH Iq
I%hereby certify information submittal is corr ct nd there re no other strTi-i
tures located on this property except
as S Own. G .k 1 t ki L.. III" immil we 1,' '4 V
Owner or Agent , Date
A LAND USE OR STRUCTURE PERMIT MUST kE ON TH PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO N• RITE BELOW��� THIS LINE�
Your street address will be (- 8 ). .3./%