1977, 06-20 Permit App: M1998 ResidenceCounty of Spokane, Washington •
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,
GENERAL REQUIREMENTS PERMIT FEE._d/
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 thestructure 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 7 ? 9 3
Name of Owner TAN 1 &et/J Al [ (- Address ,"S `771i.i'�t� �ffM'Phone 9-2P —6.7b. j
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description ffrom deed, tax receipt. etc.)
tor 3 Rite Ylh f ., LoilA-C. A-
i4+ac e". 2f% /gypie — o• 3 3 f4'/' 910f
DESCRIPTION OF WORK: New
SizeofLot 114 -ie ti //�j L alp
Stories 4_Dimensions / Y IX/ ,Y'-Ot'- aa 7 X of o
Rooms �' — Baths' Z f Basement Wit._ Foundation Const
�F QQ ai
Heat. System n2Cad Algae of Roofing C -c like -
Use of Bldg. C/'A✓gLLP nyt / Ate c r
/ 'l
LOT PL
Addition Remodel
u
u I, part, non
Moving Bldg. Zone / Fire Zone 0
Sewage System -s .e. CConst.
'Key e/6 (Fr., Co Br., etc.) 7 C7 U O
C)AJC�{� Total Sq Ft Valuation y5
i
C' o.v c ,2Lrt Chimney - ' Fireplace
Z
(Kind) (Number/
Ext Finish Kr' Int Wall Finish��Z(,i�(( /�
1< No of Units j Bedroom 4
a croft i
4s
N
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
SOUTH
I hereby cer inf ran,submitted is correct and there
as shown.
Owner or Agent
State License No.
hA- lin —CA -c3? !n
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit '—
m . Heating Permit ..,.f • n.J'
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
6/020/7 7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
3 30%
YJdB-CQa / hi��fil
c The zone is ��-24j
Build rug Permit Receipt%3/0 Is ued
/fig
form 523 Bldg. Code