1978, 10-02 Permit App: N0888 Pool0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE/
00TSPS
PEIIMIT 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. There 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 -RACK FROM PROPERTY LINES. In most zones and under most circumstances, Q, 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 47i2o6
Name of Owner JJJ 4PPy /'/rsrA Address Phone
Phone
Architect Address
Engineer ' World,
Aress
Contractor Ol e, Address
9aY-65'544
99zV6 Phone
Phone 9a8-6ssb
Legal Desaiptim of Property (Give complete description from deed, tax receipt. etc.) Parcel Number ov-=i''/'/— °Go,
L.o-T 9/132-0CK 2/ My of E s-rA-1F ' 7
"Ai llYCRIPTRlWION ORICH
F WORK:New .r— Addition Remodel
size of Lot 2S'X 130
4 elc
Stories �'Dimensi�mps Y
Rooms rips Botha � (Full P et en nal NA Foundation Const
Heat. System (p i#S Type of Roofing
Use of Bide La/ /M� IN7
Moving Bldq. Zone z Fire�Z+one 3
Sewage System -cf:Tn nst. NTI95%/
Fr., Conc.. Br., etc.)
/ 8 .� 3 1 A/e Total Sq Ft. 6/Z Valuation 9/200
Ext Finish Int. Wall Finish U/U,/ /
Q.1 USY[Q No of Units —Bedrooms KA
yA Chimney ' tat—. Fireplace _1
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
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State Licence No.
ok, n J PILE -
Ind. Ins. Acct. No.
C—USIDE PVfIIL—COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
NSewage 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
/(44 Ccr a/ 1978
Omer or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT A PERMIT.
BO NOT WRITE BELOW THIS LINE
Your street address will be (c 5 7/S7p - 97 The zone is $(1•1E31 --E- FA'IM I LY Tvs
Sewage Permit Number Issued Building Permi Receipt ,n.2.4 •Issued
Remarks d ClGV
Form 523 Bldg. Code