1977, 12-05 Permit App: M4333 Residence•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
-D
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. Constuction 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 enforclp/n`bll}e thr-o-ufg-b civil action. County Officials can not bring action to enforce covenants or dedications.
)4144;74.4!.61
rliYGd�W—e
APPLICANT FILL-IN BELOW THIS LINE ,,,d p- AL! 942.0 6
_____/1 el , Phone f V- y 22-3
Namel) .Owner a. /.Y/.�-ai--.-,/I Address
Architect \ Address Phone
Engineer 1 Address Phone ,ems
Contractor 4/ / Address �t �$ Phone 7�.i V- fa 2„3
Legal Description of Property (Give complete description from deed, tax receipt etc )
G d.A_CLt' S3 5- / - O/ O 7
it Cita_ / 4. ..> iA 6:014(,
`,(\. i Ci i A rn e
DESCRIPTION OF WORK: New - 41'--. Addition Remodel Moving Bldg. Zone / Fire Zone 3
dry 'x/sv
Size of L6)
Stories
Rooms
Sewage System-� onst. •TMS
-AS-744 ,y( IFr., Conc., Br., etc.)
Total Sq Ft IVY Valuation yy Ern
yPxsy 11 10 XIS/ •f. . 0:40 t,
Dimensions Q
Baths a -B . t ' "�; Foundation Const u"r-C-•
4,4
apart
Fu I, part, no
Heat. System GCLCZc't. Type of Roofing Ext Finish 1
Use of Bldg. E,Th. t • .t.t^ a•r..c� .OSP 4.td —
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
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-
Chimney 9d' Fireplace
(Kind) (Number
Q'� Int Wall Finish 4bV 1 '-w't't�
.('.(.ff/A No of Units Bedrooms 3
576 ".�.A,EA:a t2u. 434u &C
NORTH ,R.t7LCcLI a
tea
U)
Ind. Ins. Acct. No.
Srl0 068-gwil-
/4/y7Q - a N
REQUIRED
Pae
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereby certify_ information syilmitt gd is correct and there are no other structures located on this property except
as shown.
Owner or Age❑ Date
A LAND USE OR STRUCT RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT
(941_ 7'%
DO NOT WRITE BELOW THIS LINE
Your street address will be 3.3 151.5di. ,Q�(,�f.-�,� 33
Sewage Permit Number Issued Building Permit
,l
Remarks %i�Aw'� u'^ go -A& O,f=a/ . /2-5'^77
Receipt 0g.5-8' Issued
Form 523 Bldg. Code