1978, 12-28 Permit App N1752 Residence, Garage Renewalas shown.
County of Spokane, Washington RETURN FIRST COPY
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $30.25 1/2 Biel
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 mast 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
Name of Owner David B. Al exandPr Address E. 811 -1 0th Ave, 99202 Phone 535-3121
Architect Address Phone
Engineer Address Phone
Contractor Same Address Same Phone Same
Legal Description of Property (Give complete Parcel Number 25532-0319
description from deed, tax receipt, etc.)
Lot 19,BLock 3. Valley View Hills First Add.
UJAJ,`'f•'
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot i 40' x189' 173' E72' 4-
T/L 20'x30' 40'x45' plus
Stories Dimensions
Rooms _g__ Baths.
part, no
Basementne) fu11 Foundation Const
(F �f �r
Heat. System elec .line of Roofing X { ��"�`f
Use of Bldg. SEX Kesience, garage attached
Moving
Sewage System
Ext. Finish X 1'77/
Bldg. Zone1 Fire Zone 3
existing �y+onst.frame
2630 (Fr., Conc., Br., etc.)
Total Sq Ft Valuation
concrete Chimney 2 Fireplace
(Kind) dywal iNumber
Int. Wall Finish
No. of Units,... Bedrooms X 2-
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
Renewal of L. 4439
Please fill in where the X's are
in
SOUTH
I hereby /c tify in ti s itted< is correct and there are no other structures
C)11/4 (4i /4')
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
located on this property except
12/28/78
DO NOT WRITE BELOW THIS LINE
Your street address will be £Receipt issued
zone
Sewage Permit Number Issued Building Permit (� �
Remarks
S. 1716 David
Ag. Sub.
Form 523 Bldg. Code