1978., 03-25 Permit App: M5487 Residence• 4/ -
County
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT I7/‘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 distu-s
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.
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 1N BELOW THIS LINE
^8r
Name of Owner Address
FY-) 1::Lirf. 249 (i, r pMeWP Phone ��-76Zz
Architect Address Phone
Engineer _ Address Phone
SX tp�
Contractor Address
Legal Descri tp ionof Property (Give complete description f om ed,t; re
Lei 1 2. BI f" I 1 �
ROADWAY It/W WID1H (,O
DESCRIPTION OF WORK: New ✓ Addition Remodel
Size of Lot
9o'x134.�J
Stories _LDimensions 29) 43 2-08 2Z%
rrZq-
Roans _kJ_ Baths Basement 1 )(I Foundation Const
Heat. System
Use of Bldg.
Fu I, part, none
1
Moving
Sewage System
Total Sq
Ca ,
ype of Roofi___QlSrA0Eit
Finish
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.
11 -II
Bldg. Zone --/ F re Zone 3
6. T. Const Ftcw .
r-�/ - IFr., Conc., Br., sic.)
. Ft. I�+� Valuation 5'I -�
Chimney NO IK Fireplace
(Kind) (NNumgOr
Int Wall Finish
No of Units _Bedrooms
Fs
Fs
N
NORTH
6ee
es -e ?Coi
I hereb
as shown.
ALAN
THIS IS
SOUTH
ify, information submitted
is correct and there
Ind. Ins. AEdt. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3/a/fl eat;
are no other structures located on this property exc-
3/26 /16
Owner or Agent Date
OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address .111 be /T-//2, n. *,i The zone 1: A ,' .,. jinn
Sewage Permit Number Issued Building Permit `1-t7 4f Receipt De'Ti i I:: ued
Remarks
O 7t1
Form 523 Bldg. Code
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