1978, 02-22 Permit App: M4985 ResidenceI
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMErNTS PERMIT FEE
PERMIT REQUIRED. A land use or structtre 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 Zonit_g 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
Name of Owner litr + M1f5 Awe C. Davi Address t: `6-310 Lt%L-Crrosse,,Spakah.t. Phone q�4'201b
Architect `Zic cord P. SG,�S6vey Address N 414 01 OiVis jc)1J ke Phone 4,25-4 33' 457
Engineer 1 Address ,,q/ Phone
Contractor L3 f G.- yiYY186-fE ({)11l3171.erC77L?A/ Address 7S<2 I ill, MJI)j/ki/k,' fF4.,3 ',kokttyone /-/,, - -?, -7/
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 352/3-- 4L 7/1if(Rve.7744/f...F)
6.97-TAcwt
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New X Addition Remodel Moving
Size of Lot 6.984_'£� Sewage S
U
Stories _L_ Dimensions ?'0 'C ' �>
Rooms Jr Baths '- Basement uLi_
(Full, part, none
Heat. System 1 I. -C': Type of Roofing
Use of Bldg.
Foundation Const CF,,Jt'_h
Bldg. Zone / Fire Zone
stem 5e 77"
4 V (Fr., Conc., Br., etc.)
/09 valuation -0' � �o .
Chimney /f1�f/- Fireplace A/
(Kind) (Number
Int. Wall Finish -0c4
13-.P/frtf,7"--SttwC,Ext. Finish `O?
�inIG,L,F iO (---JA/C6- , 4 '� r.X.A.re No. of Units -Bedrooms 2
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
/Li 8,
411
CiT
Ci 01i3012, -- '
1 71
SOUTH
I hereby 9 fy infor on,�r/,bmitted
as shown. X54 riYY �I *
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
-- 105'
m
tot
State License No.
02 3- 01 - 6
Ind. Ins. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property excep`-
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be /0 7/ e zone is t=�
Sewage Permit Number Issued /^ Building Permit Receipt D6 p(
�74,
Remarks G'S.9 )O (lop/ _./t% D.0
Form 523 Bldl Code
40(
ued
ILN.
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/ `T) ) I / T