1978, 04-13 Permit App: M5802 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .Li
GENERAL REQUIREMENTS PERMIT FEE._i tv
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
ler/ . htte1C•n.n.s Sza./L FAA -4 Phone °�-7 4 -5"/ 9 s`
Name of Owner ! _ ! Address
Architect �" Address ?900/e Phone
Engineer �- ` Address �j t,�•- +�•� Phone
Contractor L., Address .� /� Q �$L1 Phone
Legal Description of Proper ( ive complete des ription from deed, tax ,�receipt etc I f�/irt,�;,t 3 3 5- Y/- a / d /
Ma` / / 1 e"Pa->-., ., ale/ •
DESCRIPTION OF WORK: New ' Addition Remodel Moving Bldg. Zone ( Fire Zone
Sewage System onst. �/ ""�-
Fr., Conc.,7B .. etc.)
7`% OP
Size of Lot 10 X In
Stories DDimensions 1 G X.2 6' # aaX 'a' ✓ -tow Total Sq Ft / 7a -y Valuation / O
Rooms r Baths 2 Basement�l/ Foundation Const • Chimney)144147W,Fireplace '4`
(Full, part, none) (Kind) (Number
'` Ext. Finish %r'ttw+wrt Int Wall FinishCrvdn'•/n.
Heat. System
Use of Bldg.
type of Roofing
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
tem and water supply lines.
NOtTH
A0 111 0
4r104 -1-4r . .4.44 .2,4
No of Units L Bedrooms 3
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-
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av
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SOUTH
_tea rDITA
State License No.
C
6/00- a 3 3 2 0
Ind. Ins. Acct. No.
RE- UIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cce�rrtify informatio. submitted is correct and there are no other structures located on th{iiss�Property except
as
11.
•rdi p Own= or Agent Date I
3�1 LAND USE. OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
u
- I THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE ,
Your street address will be S 3-10 7 45 Ota, / C // The zone is S FIC
Sewage Permit Number Issued Building Permit 14.5"-ko2 Receipt/230 Issued
Remarks
Form 523 Bldg. Code •