1977, 11-15 Permit App: M4125 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (0'
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byCounty Resolution to erect a building or structure of en/
kind or alter any building or structure already erected, or to change a land use. Construction most 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 OP 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
Name of Owner �j if �- - - . I Address 7 SZc7 ge,-V /rieb ' Phone 12c -0 41?
Architect TY)
r� Address n,�4 ✓rl L.2•-- - / Phone
Engineer /r V Address Phone
Contractor Address 9CI C1 6 Phone _
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel_Number ?RZ �Z` (')_2 72
_S.. T.S2Cs. Ya�iT=.S ;AA//
Lit i ,2o RL 2 /7XOil avr,,r- 122/
.1
DESCRIPTION OF WORK: New _f— Addition Remodel Movin ,Bldg. Zone �_ Fire Zone 3
Size ofp,L�ofj ��_ ��'� O '' St System "cnz,- rtai b L 4+10 rs
X .29
/ p'G rx ZZ coop.. Br., etc.)
Storie DimensionsTotal Sq Ft /7-7 U Valuation yl? `Or)
Roams Baths esement Foundation Const. ',One- . Chimney �
(KiLt; Fireplace �•
Fu ,part, none
(find) (Number
Heat. System L Type of Roofing s Ext Finish / "i% -t / Int Wall Finish Lit2)/LJ;ex L.� L.
Use of.Bldg. r C=t 9aid4ie:: 4 / dr -217 No of Units _Bedroom( 2a
Pira. ?n, Rim. 85Q0•Pc-KIKOT 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.
NORTH
S
iv
E
/2
N
3O'
s kt
SOUTH
I hereby certify information_submitte
as shown.
Ind. Ina. Acct. No.
RESIDENTIAL -
REQUIRED
Plumbing Permit
rm Heating Permit
inSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rent and there are no other stru'tures located on this property except
d✓ /.5 /977
Owner or Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be £p S
Sewage Permit Number Issued Building Permit
Remarks
The zone isCr•JeF((.=
' Receipt /) (U 2- Issued
Form 523 Bldg. Code