1978, 01-16 Permit App: M4583 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
d6
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3
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 must conform math 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
c ict_ 9 9�0
Name of Owner _41(4- Address /Or?..2� . 3i4 //TT..^s. A
Phone 9-2g-8398
Architect Address Phone
Engineer jj Address Phone
Contractor *d./t -24tt Address P�hoone��r��
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 3337 —4=a.+^ty.Z/ 7
/ 67- /7 J31.K 2 kt iden..aD' /7ePt(
DESCRIPTION OF WORK: New
Size of Lot k3 X /.S6
X Addition
Remodel
Stories / Dimensions Z6 V 7
Rooms _fa_ BathsBasement.
Full, part, none //////YYYYYY
Type of Roofing ts_.a
Ext.n @h
�II..•��,I.7'','�^,'Ihair-4 No of Units Bedrooms
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.
Moving
Sewage System
Total Sq
-14- Qn/0X /.Z DECK
-til Foundation Const t--f+ti14t,.
Heat. System
Use of Bldg.
Bldg. Zone / Fire,Zpne
w40LI .-C & Const. ' j -L
(Fr., Conc.. Br., etc.) 00
Ft / 9 9Z Valuation 419000 —
Chimney / 4 rro rlacefffNJJJ (Y 44N.4 -)1L
) 7
Int Wall Finish t t7rya n� //
NORTH
/50 P7.
0.
%kri
L
Ct
I'
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
SOUTH
I hereby certify information submitted is correct and there are no other structures located on thisproperty except
as shown.
/—/G-72
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
.141.4
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Tour street address will be �• 36/Q lS4( y//�� d_, The zone is A2JM,u1h,'Ste.t4C–
Sewage Permit Number Issued Building Permit Receipt /29_3 Issued
Remarks
DO NOT WRITE BELOW THIS LINE
/i $3
Form 523 Bldg. Code