1978, 03-25 Permit App: M5485 ResidenceCounty of Spokane, Washington
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 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. rt
/# MATER. 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. Paints 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 BELOWELMTHIS LINE,j�%/��{� ttom�,,,,,°)710---1‘72Z-
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Name of Owner _l�L1LY1i1Jjc'�y� al'�/�a_' — Address Ill aC e. Y71ZAh�+ phone �7L- 1h2Z-
Architect Address
Engineer
Contractor
'rThinA t
Legal Desc ipti
of Property (Give complete
st:AotG Phone
Address Phone
Address Ph
trip 'o f om d: ed. to receip e c.) Pa el Nu a Via► • Wti=eta rt
Z- •
r
ROADWAY R/W WIDTH G/a
DESCRIPTION OF WORK: New' �V Addition Remodel MovingBldg.
System Bldg. Zone Fire �7ayt�e ,,
size of Lot �✓,/t�1 '�77-+F %• 'Y"t-�"
Const.
,,tt ((�� ,{ (� I Fr., Conc.. Br., etc.)
Stories L Dimensions 41-)X 4 (ZZ (0)(27_n_ ,,, CJ,xLb Total sq Ft -Valuation d'bfi'�7�
Rooms / Baths Z Basement . Foundation Const �Z�t� � Chimney Fireplace
(Fu I, part, no �f` (Kind) I _ (N er
Heat. System' n,^t T�y o Roofing MlL...bI^ Eat Finish l I -(I Int Wall Finish
Use of Bldg. se �' 4.v.�ll� par_ f (�Y\ I1
No of Units .Bedroo
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
�ee
CQa F `^'et-
• I hereby
as shown.
SOUTH
crfy formation submitted
St •I(iii•_ s
1
,—ewPERMIT.er or Agent
A LANDR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THISISN PERMIT.
DO NOT WRITE BELOW THIS LINE
Iour street address will be /17
//2
Sewage Permit Number Issued
Remarks
tLicense
fQ1��
D
Ind. Ins.t. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
NSewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3/0/44r. eat4
is correct and there are no other structures located on this property exceptti
THIS IS N
Date
Building Permit
e zone
Rece ipt
a J�
ed
Form 523 Bldg. Code
GOODMAN BUILDERS IINC.
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