1978, 05-10 Permit App: M6243 Residencer
1
!`j
m County of Spokane, Washington
4
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR. LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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.
TATER. later 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.
7
Ad
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos, 45-133 and 47.235.
SET -BACK FROM 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
Name of Owner (_dA%W I\he004 I�. Address ^% IIDS ltlARtCnr 4Zol. Phone 428-3tlSI
Architect Address Phone
Engineer AddressPhone
c
Contractor Sanent. Address .lAw.t- Ph e
Legal Description of Property (Give complete description''from deed, tax receipt, etc.) Parcel Number /
LOT 7 RIO el I , ``U ElIAdl�A.I`L tfelletth ION Aa
SoniiMJtt.8.tlwsl.. �ti.AL etc WAS`
1
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. one Fire Zone
Size of Lot (1(0.1)); Y 114.5%1 Sewage System sg tc TAo Const. FOA"`C
,� OO !.
(Fr.. Conc., Br.. etc.)
Stories Dimensions (.2 X Z4 0' `� �' !J X ^ 11 Total Sq Ft Valuation V2Ofl d
Rooms Baths Z Basement %./ Foundation Const Ch '.t.E7E Chimney//yrovstH Fireplace
a0�3 —Mill, part, nonce (Kind) (Number
Heat. Syatem�f'r'P F'�vam. Ty f Roofi/ng� �w-p Ext Fi ish %d Int Wall Finish '"'411
Use of Bldg. �� lv/.t'i� C/•1%1�./tr C No of Units_Bedrooms .2
PLOT PLAN
Draw sketch with dimensions shoving: (1), property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines sad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
N
-1
NORTH
SEC +RCLED
I he
as `spawn.
Nl
cert
SOUTH
tion submitted is correct and there are no other structures located on this property except
-5-ADi7¢3
State License No.
x23 -O\ tAC -90 -Q/C- z24D1
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
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 B LOW THIS LINE
6%
Tour street address w111 be .2 Q .Z. '•» l 1 The zone
Sewage Permit Number Issued Building PermitMI Receipt
Remarks
pv,,•;,,,,
Form 523 Bldg. Code
v
` 1 1I ��
LOT / r� , 4QI.00Kc( I ,1 V1 Enid P L l'�EI�:�A IL
S 90\zANE Liow,A).' SkR\E
,Cor L,
96./8'
X11JCPRE.
201
GZI
M
v
/ot LiNF 7L,Z7
i