1978, 01-16 Permit App: M4582 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT "30
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 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
06
Name of Owner ISA - , rt -e..4,_ C %r' Address /to Lc-- C 23 Phone X-7 5J'
Architect Address Phone
Engineer Address Phone
Phone
Contractor
Address 9 d- In
Legal ip bion of Property (Give Complete dssaip ion from, tax recaip Let .)
/Q �2-7 73
Parcel Number
DESCRIPTION OF WORK: New LV
_._ Size of Lot
9 0 )C / S7D
Addition Remodel
Stories 1 Dimensions
Rooms A4 Baths
72x2-6
/0 x/2- '`
Moving Bldg. Zone Fire Zone
27
Sewage System -e--(4-}Lair onst F�-P
(Fr., C nc., Br.. etc.)
Total Sq Ft R9i- -vValuation 421 to 0
Chimney ' Kl< Fire lace Z
(Kind) (Number
%- /'✓�"=-��
Basement Foundation Const
part, no
P C� Type of Roofing ea/tie/ Ext Finish --/--// Int Wall Finish
Heat. System l�`3' Ar4.
Use of Bldg. r%�-t_G�e.�(/Tj fh/ �t1�- . a T7 ( Q6GK) No of Units/Bedrooms 3
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.
I hereby certif
as shown.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Malted
is correct and there are no other structures located on this property except
/-/lo- T
Owner or Agent Date
A LAND US STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-nctlrn DO NOTRWRITEE BELOW THIS LINE 4 n
Your street address .111 be 36! 3 - S , r/A- [o / �J/n//��✓The zone is Cf/116-6"�-��
Sewage Permit Number Issued Building Permit uV l Receipt /.9S Issued
Remarks
Form 523 Bldg. Code