1978, 03-22 Permit App: M5404 Residencety of Spokane, Washington
EPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
N FOR LAND USE OR STRUCTURE PERMIT /
E N T S PERMIT FEE ald �`�
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an/
kind or alter any building or structure already erected, or to change a land use. Construction mnst conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Nater 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
2 727
Name of Owner < ' `� Address x.. — Phone
Architect AddressPhone
Engineer// �� 1J Address
Contractor h/erQC^1` /1!iBr'ertheap^ Address E�.246/7 �`/lesfe,
Phone
Phone
Legal Description of Property (Give compVa(e description from deed, tax receipt, etc.) Parcel Number
/V. E. Y4 Sec , 33 i ,2.3 A/ � /c 44 F W, M Lit 04, Pik 2�
/V/; r/'/Gi1JF iite/ii'7:/_
4I
224. = vlE'S'
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot , S X /_5�. G' t Stories I Dimensions 28 /)(1712' 22/X2'4-
Moving Bldg. Zone Fire Zone 3
Sewage System -serf:- Const. 'Sino-._
(Fr., Conc , Br., etc.)
Total Sq. Ft •luatio/43-GGe:
Rooms C.1L Baths 'tBasement 6 all Foundation Const
(Full, part, none,
Heat. System Ei ,cte;c. /8 Type of Roofing 3014NL.i/f 5t; jdd; ElC
dg. cy34''rd F_ 14.1•1‘le Gt F: e
f7
\\1.`\ PLOT
It�
47e!.7e;y c='7c Chimney
t. Finish C/rlek:r'd'c/
PLAN
Fireplace
(Kind) (Number
Int. Wall Finish S4ec--tre( k
3
No. of Units _Bedrooms
etcwith dimensions showing: (1) property
aw slines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
r'
m
NORTH
•
SOUTH
I hereby c i information s bmitted is
hown.
State License No.
223 -G/ - 29/45
1fNo.
3/14 /8
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ect and there are no other structures locat d on t+is property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(51,vr - 14(.i,
78
Tour street address will be
Sewage Permit Number
Remarks
3
DO NOT WRITE BELOW THIS LINE
Issued
Building Permit
The zone
Receipt
Form 523 Bldg. Code