1978, 02-22 Permit App: M4972 ResidencePTcel J 35y�--�Ir
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE '41'•°°
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 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 1,9a46
-f/ 22 4 19L : Phone `1025-%L/6r7
Name of Owner %I I K E i(R R L I K Address
Architect Address Phone
Engineer Address Phone
Contractor SA YY7 E Address him
Legal Description of Property (Give complete description from deed, tax receipt, etc )
AL 0/1A FIRST 'ADD !_ 3 3 2
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot
Stories Dimensions
Rooms Baths - Basement f",,.1 4
(Full, part, none)
4-.28 /X2 7'
Moving Bldg. Zone / Fire Zone_3
Sewage System4 t' Const /7/43/:(1.-f-
%j�0 (Fr., Conc., Br., etc.)
Total Sq. Ft moo—"Mit Valuation 4 DOC
Foundation Const. Gone r''-\ i. Chimney Fireplace
Yr ti or•I { r (Kind) (Number
t. Fin. h Int. Wall Finish Ale t -k. 9,0C \e4.
{�/ No. of Units 1 Bedrooms 3
Heat. System LCLP�', rufNtiCiiype of Roofing
Use of Bldg.
"kc,., c
a"krJe1 (/M /jf
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
,7 f,
�c
Draw sketch with
proposed buildings;
tem and water supply
m
dimensions showing: (1)
(4) distance to property
lines.
NORTH
OZ(
SOUTH
11.E
7_ Ict
ti
3
U 7
0 ql
m
Q
0
E
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Ind. Ins. •t. No.
REQUIRED
Plumbing Permit T ,73",w,
Heating Permit K' . U .
Sewage Permit Ei 57.14'47/7
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here certify information ubmitted i correct and there are no other structures loc ted on this property except
Owner or Agent Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(3., -141A/Q, 0i DO NOT WRITE BELOW THIS LINE
Uzi- 042
The zones
as shown.
Your street address will be
Sewage Permit Number
Remarks
Receipt Building Permit / Issued
Form 523 Bldg. Code