1978, 08-14 Permit App N0127 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT s,,
GENERAL REQUIREMENTS PERMIT FEE 117 64
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 ,Pow g9,20c
Name of Owner BjZ.to<F IrvALLiNt Address E. 11103 EMi'1XNVEL Afft `r2Ca-gC -
Architect Address Phone
Engineer Address i�j ZD� Phone
Contractor 13P.IAc E W AL Address F 11103 IRA(!(KE l-V F . Phone C126-960S
Legal Description of Property (Give complete de9)cription from deed, tax receipt, etc.) Parcel Number 6'`t'., 113— 0769
GKANDO i F w AC- RIS 1 I)LY * s te r- .KAI RBA) L-_67 BLa c,k_ 4. too -
ROADWAY RIW WIDTH
DESCRIPTION OF WORK: New Addition X
Size of Lot ln11 %( .32.D
Stories -Z. Dimensions 2..O X 32
Rooms 3 Baths Basement 0
Fu I, part. non
Heat. System R LW.�T B.13 Type of Roofing
Use of Bldg. ADprrtarl Trl f'.XIST/
-L -WAX
Remodel
Total Sq.
D �
Foundation Const I� .P1£(`S
c
1'voL_L _ Ext. Finish i111
NIA 12FSIDFNC_F 01= 313 ROo
PLOT PLAN
Moving
Bldg. Zone / Fire Zone
Sewage System
N/lf
Const. Fj�4jv1
(Fr., Conc.,cBr., etc.
Ft G LiC% Valuation !10O0 -rC.
Chimney �X Fireplace N�
{Kind) (Number
Int. Wall Finish ,DRy u1hL.i
No. of Units Bedrooms 3
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.
nuY1
NORTH,
SOUTH
I hereby certify information submitted is correct and there are no
as shown.)
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
other
PREMISES
State License No.
MAJKler
Ind. Ins. Acct. No.
ESIDENI-I TY�COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked ( i9
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Date
BEFORE CONSTRUCTION COMMENCES.
4UG J pi/ 6-LP
DO NOT WRITE BELOW THIS LINE)' �1
Your street address will be E 11103 I M PI R� A 1 The zone is �°thf1GU L"-[1(jZliL.
Sewage Permit Number Issued Building Permit ( Receipt 5303 Issued
R /f- P 1�=
% G/( 'V—?66(
Form 523 Bldg. Code
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