1979, 05-24 Permit App: N3376 Residence C unty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 9-7, 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. 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 41'9
Name of Owner—DA MAX LOP_ Address 40. S . FAR- Phone q›.4---3K0
Architect Phone Engineer Phone
Contractor TD.A M, , I NG, Address 4/, i S. 2 T Phone 9 4—3. 0 2_
Legal Description o,if (Give complete description from deed, tax receipt, etc.)1 "C t L �4.�—56}`,
Sr" 7-3 Y3 Fr OF LLT 4-� A t ) . OF LOT S, SLD K 501 Ko KO M0 oWNS1TE
DESCRIPTION OF RK:New ,x Addition Remodel MovingBldg.Zone 3
Q � Fire Zone
Size of Lot 83/3 X 13 O I Sewage System S ''P-r°1 N Tx Stoles I
Const. F1Z Dimensions 3 o x l.3 2_,x los 4X 70 (7 X 4) Total Sq.Ft. 2_182_ Valuation 7R q o o
(Frame,//c-oncrete,brick,etc.) �i
Rooms to Baths C.. Basement Flit Foundation Const. l .0 N C- Chimney M4tSr1ip..�Fireplace 1
(Full, part, none) (Kind) (Number)
Heat. System FA E Type of Roofing )4.0_ S1-4A kES Ext. Finish L n D D Int.Wall Finish T'Y V 7A L
Use of Bldg. 5) N)( ,Le• FA lvl ) Ly : si 7A L No. of Units ' Bedrooms_a_
Garage or Carport Attached Z. C.A A7 r,4 N_N .0 Private Detatched
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.
X23- 01 — 1294.9
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
�n Heating Permit
to N Sewage Permit
atteJ-ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH v` _' �.`' �' _.
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. a� I I .
,'' -
Owner or A: • Date
A LAND USE OR STRUCTU."PERMIT MUST BE ON HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
i/c. ?y DO NOT WRITE BELOW THIS LINE 3
10
Your street address will be ) I '� 1 7 . 3 Q T re zone is A G . 5 U I-F3,
Sewage Per% dumber Issued Building Per/tilt -� Receipt Issu
Remarks OA c5 ,',�414.{0/4-1K, en 01`i� m786.5.4 -ONE*.C - N �.a'� A
Form 523 Bldg. Code
83.33 -PROP LNE
-. 30TH AVE
DATE
SYM
REVISION RECORD
AUTH
DR.
CK.
-PLOT L AN
SCALE . 1 = 2,6- 0
WEST 331/3 FT. OF LOT 4 ALL
OF LoT S -BLOCK 50
KoKoMO TOWN51TE
SPOkANE COUNTY) WASH,
MAY Z 5 1979
-PARCEL No. 2.8543- 5027
TOLERANCES
(EXCEPT AS NOTED)
-I) AMAX, N.
DECIMAL
SCALE
11 1
= 20
DRAWN BY
APPROVED BY
FRACTIONAL
TITLE
3 ER SINGLE FAMILY RANC'+
STYLE RESIDENCE
ANGULAR
DATE
DRAWING NUMBER
-Iia--1 )oF4
1+E ALSANENE® 105465
ENGINEERS' STANDARD FORM
\ADI IN D. S. A.
26779