1977, 10-13 Permit App: M3737 ResidenceCanty of Spokane, Was'r<rlgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201#
APPLICATION FOR LAND USE OR STRUCTURE PERMIT# JPt
GENERAL REQUIREMENTS PERMIT FEE
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 most conform ■itb 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 oh 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 c044 -217-1
r7 1
Name of Owner .kXJP.Yl� 1V.. Address �1��Ot, �` Phone V � '
Architect d Address _. Phone
Engineer �1 Address Phone
Contractor t•1A.A,(�z,WDP1hv 11j%- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
-2,-"ss4)-1101 ]ter- 11 eLo72C I) N•tlplt/Mn )4Phi' it)
DESCRIPTION OF WORK: New ' Addition Remodel 1 Moving Bldg. Zone �- Fire Zone3
Size of Lot I prLR/i 14,0 ¥.I fl kL W Y1l ( k rI r Sewage System 4igi WE&Dconst It-12-4111421f.,
2a c Fr., Conc., Br., etc.)
Stories —Dimensions -22-7— K 2i' i-72-x2Z tW 17- brat...?- Total Sq Ft Valuation
Rooms =Baths Basement ftV2 f� Foundation Const �p it
Fu I, part, non` -
Heat. System ,,.A W242/.Type of Roofing -3 S L(4tl Ext. Finish
A�%
Chimney Fireplace
ind) (Number
I�LJ
Int Wall Finish Vat
No of Units l Bedrooms
Use of Bldg. Q�� 1
P?rAiL'�L '� 412A61 -1E 61 �(M.LIb'
0 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.
l
NORTH
RESIDTL - COMMERCIAL
SOUTH
I hereby certify information submitted is torr
as shown.
SIA
Owner or Agent •
A LAND USE OR STRUCTURE PERMIT MUST BE ON
THIS IS NOT A PERMIT.
Aztf_ 14/442, fr/D DO NOT WRITE BELOWnTHIS LINE 7 Q r/
Tour street address w111 be 4, .124 Q' -64,1‘342.. ,CO -Q -CX /�T7he zone is �Cf 7,f1�11t J-�—
AtiL�f
Sewage Permit Number Issued Building PermitReceipt to rii 7 Issued
Remarks
m
N
N
State License No.
Z'L3-bl -73b-3'
Ind. Ins. Acct. No.
\WA.t F 'jam
6 P( ON Pike
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
' Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ct and here are o other structures located on this property except
.)) Date
HE PREMISES BEFORE CONSTRUCTION COMMENCES.
Form 523 Bldg. Code