1977, 06-10 Permit App: M1815 ResidenceCanty of Spokane. Wasllgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT r/ 0 °
GENERAL REQUIREMENTS PERMIT FEE .:L�/ o
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.
/ tet— APPLICANT FILL IN BELOW THIS LINE
Name of Owner t�3/,9,,v fl. 4('5/t.J Address jrce,X2 A4;93 oPP 9$9// Phone 9'�`r 92- 2?
Architect Address Phone
Engineer ,(jam- Address Phone
Contractor s r .417.1_16,0.41,1/5141 Address (er4 /414T:4 cO/'A 99a7/9/ Phone 9& S' S�
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Le, 7-a /31
777i3O.41-oo, /42:100,
DESCRIPTION OF WORK: New J( Addition
Size of Lot 9C7 et(/
Stories d
Rooms % Baths / 7 2- Basement &r/LL Foundation Co
Ater. (Full, part, none)
Heat. System 4.,o€ Type of Roofing aM�
Use of Bldg. q-Aet4[,y rill-FYI/a//et • i
Remode l
3;_s -y/
Moving Bldg. Zone / Fire Zone
Sewage System540776- Const. ���7)
(F
Dimensio sC
Const .
Ext. Finish �r/�d.�/Ti.,
Fr., Conc., Br., etc.)
3a xa 1(10)62.2)-t- •� n a/p Total Sq Ft /(5"92-- valuation (S.
Chimney /3 nnc- Fireplace
(Kind)(Numbbeerr
Int Wall Finish _t✓ 3 L�
No of Units L Bedrooms
A-7724 5A7e*9- .C -
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
RESIDENTIAL - COMMERCIAL
5ce * o h J!t wJ
SOUTH
I hereby certify informs '..n sub» @ted is correct and
as shown. .6/�/
Owner o
A LAND USE OR STRU
THIS IS NOT A PERMIT.
State License No.
'5 , tl5g4 33 3G %
Ind. Ina. Acct. No.
9/ 6(-2
REQUIRED
Plumbing Permit
Heating PermitS-atte/,�s/4
Sewage Permit 0-/a/�/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Date
RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
MIL
DO NOT WRITE BELOW THIS LINE
flim street address will be ( S- Lg#GI�C��'t.V'HI�(t (r`y(
/
Sewage Permit Number Issued Building Permit/' j VA
Remarks
The zone is
Receipt qc g7 -
Issued
Form 523 Bldg. Code
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OPPORTUNITY; WASHINGJON 99214
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