1978, 03-25 Permit App: M5486 Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1/
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 47235. }/.,�
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. .`7
t.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 _Ltfl1 AAr j3\uQP I • • AddressPaP IL_PAr9 Q,f o Phone St:-7ba
Architect Address ✓' I Phone
Engineer Address
Contractor er9\1/10 Address �� PhMne I�r��
Legal Description o Property (Give compiese scrip io om 1de:ed, t#/x�r�gce�ilpt.ir etc.) ��rparnr r1f G4-2 —9oz3
•U G c�V.r
Phone
ROADWAY R/W WIDTH CSW
DESCRIPTION. OF WORK: New
Addition Remodel Moving Bldg. Zone / Fire/Ione
90 1111'
Size of Lot is t_ phi Sewage System 5. T. �onst.
X XSq M Fr., Cone., Br., etc,L,
j, Zz 24 8 i o Total Ft aluation �j.�J
Roans Baths Basement 'I lj�l Foundation Const–Plri��-^�-� Chimney i t la-.
Fireplace
',1 ,,_ ``Full, part, none -1- Kind) p (Num,,be,
Heat. System Y,R. ype,ypf�jioofing Ext Finish t - 11 Int Wall Finish It3t
Use of Bldg. �)60 r ser T L it No of Units —Bedroom
I
Stories- Dimensions !D
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.
NORTH
4e
at ei d Pkt- f4 A
I hereby cer
as shown.
SOUTH
or
t License o.
I d. Ins. t. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
tw Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3/a y fji ttlt
tion submitted is correct and there are no other struct es located on this property excl
3p /7gili
er or Agent Date
A LAND USE(1104
.UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA , T.
DO NOT WRITE ELOW THIS LINE
Your street address w111 be Eh
Sewage Permit Number Issued
Remarks /Q_,
Building Permit
The zone
Receipt
Form 523 Bldg. Code
G. GOODMAN IBUILDEIS INC.
P. 0. BOX aro CIRIEE ncNtt, WA t,2Dlo
12'
12'
12'
44'
Lot 3 elk- 1
Kit% ma *a kktage
1040° ►
RIM= SIIPP .11. MIMI ISO Was •
Zi'
egoita
152e°'
4'
b'
SLOE
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