1979, 05-24 Permit App: N3375 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT+
GENERAL REQUIREMENTS
PERMIT FEE_._J ._b________
kkindITREQaltter anylbuilding orsstructurrepalreadyserected. ory touchangesallandnuse.erconstructionnmust conformrwith th
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
the surface, shoulderssorbditchesved by the of County Roads, permissionand State ealth must bepobtained fromrtheork on Countyater Engineer'stofficeisturbs
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FisMIES. In most zeSiarmost ckinset-back
the
front
pqrty line, of at
t,anda251 rearyardarereuired
leas25'required, a5side yard, 15' yard from aflanngstree
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 ro County Road Department and work must e
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 q&7 1 d (a
Name ofOwner
Address 4"F% I �• FAfzT2_D. Phone-3-rdi_
Architect
Phone Engineer Phone
Contractor
MA9��`1 L' • Address 4t. t 1 S F -A P_ �� • Phone_ 4 O �
Legal Description of Property (Give ra
/complet—ni�7h1
e description fromdedeed, tax'receipt, e1tc'.)�.�at?h-eL#�f1S� �OZ8
!✓n I! nVn i�An41 ►-
DESCRIPTION OF W(pPft f : New X Addition Remodel
Moving Bldg. Zone Fire Zone 3
Sewage System J�PTIC — Sto es
Size of Lot �3 1� X 3�
�_Valuatior�l 9
Const. Fr—, Dimensions �� x iay A 9 X 4 Z.S S7(
4-0 Total Sq. Ft.
(Frame, concrete, brick, etc.)
��
Chimney M Fireplace
Rooms, % — Baths _ Basement FF � L Foundation Const.
bJ r'
(Kindd)) (Number)
(Full, part, none)
--1�
Heat. System Fe .Type of Roofing 14 HAKoS'xt. Finish
'-+ n o D Int. Wall Finish SLe_,('lA
__2—JA L
C 1-n � �
No. of Units Bedrooms _
Use of Bldg. �d1 �' SFA IA I L y F
1� tj� ('Z aA r' G 1 i.+ .4E hdJENI
d
Garage or Carport Attached ,
Private Detatched
N IV 70 d
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2)
to lines and streets; (5)
street or road locations; (3) location of existing and
dimensions of buildings; (6) location of sewage sys-
proposed buildings; (4) distance property
tem and water supply lines.
No
NORTH NORTH
J, a&,- J R,,� )Pj,,
I
m
N
here certify igTation
as shown I i 1
State icense
-Z - 6 1 -"
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
M Heating Permit
a Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
submitted is correct and there are no other structures located on this property except
vu
Owner or Ag nt % Date
A LAND USE OR STRUCTURE RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,. DO NOT WRITE BELOW THIS LIN
Your street address will be L 3 ST + e zone is Ac,S— u � $
Sewage Perm ,It N�ber I sued Build in Permit Receipt /.�� ' ssued
Remarks ( rev' , G�XZf��i' ��% _' Dgj C -
Form 523 Bldg. Code
S
E. 31 5D T- AV F
K+C ALBANEN6 ® 6'.5 10 84
G UfU1Gq• ct.1M OF110 IOYR
1
REVISION RECORD
-P L. O TT �L A N
SCALE
LoT 20, � THE W'E sT 33 V3 FT
OF LOT Z! ) B LOG K SO
KOKom.o TOWNS ITE
SPOKANE COUNTY, `✓./ASH,
MAY 2 5 1979
PARCEL No. 28543 - So 3
TOLERANCES
A6 NOTED)
15�\�1l(EXCEPT
D,4J ' 1 /� \�
N c.
,
DECIMAL
fiCAI[^�
DRAWN BY
11
f
20
APPROVED BY
FRACTIONAL
TITLE QUAD LEVE L 3
B R
S! NIC, L. �
FA m 1 LY
t
RESIDENCE w
COUP ROOF
ANGULAR
DATE DRAWING NUMBER
5 -) 5 L --791 R S —1 1
of
NAM ur.D.-
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