1978, 04-26 Permit App: M6003 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT SD
GENERAL REQUIREMENTS PERMIT FEE ..../.6Z2
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ea
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
Som Ka n E 91a66 phone `1076 -0 7 rS
Name of Owner
Architect Address Phone
EngineerAddress Phone
Contractor /) R ,da /c/i/1 Irv. Address Sam C. Phone Sczm
Legal Description of Property (Give complete description from de tax receipt etc.) Parcel Number - - / 0
s
l
Addres
DESCRIPTION 0 ORK: ew 1 ----------Ad. it on 'emodel Moving BI g. Zone r� ,Fire Zone Si
i . �. P -r
Size of Lo - - or �s-%=s%�t- Sewage System Const
/ r., ContBr., etc.) QV
Stories LDimensions .SI X 30 02 02. X.2 V ct&eP�_l/oA /SI Total Sq Ft oZZci ' Valuation GP/ yam)
Rooms 9 Baths - Basement Fu.// Foundation Const (•.nn F'./'Eic, Chimnel:%ri-inti Fireplace az
1� // tante
1, part, none) _ (Kind) (Number
Heat. System ect /aMp Type of Roofing 56,,. re.. Ext. Finish //- // Int Wall Finish /-7/y talc.//
Use of Bldg. Pr/t/a trt res, J2.n CCS Q 4-ra-9e. ; 11 ALSe rnto y1 t No of Units Bedrooms -27/
cBr ..,p <O c f V vole:,
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-67
1U
m
N
y
NORTH
SOUTH
State License No.
178 -Suez--acid/ 3 -
Ind. Ins. Acct. No.
.3�F
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informati n submitted is correct and there are no other structures located on this property except
as shown.
,/ Owner or Agent
y >6-=7.8
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT AP
D) 4
DO NOT WRITE BELOW THIS LINE
Your street address will be :5-//c}
Q
C 1,&( !r .( ` e zone is -/
Sewage Permit Number Issued Building Permit M-(1001 Receipt 5..36 Issued
Remarks
fD
Form 523 Bldg. Code