1978, 02-07 Permit App: M4790 ResidenceCa dnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT l /
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. 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 dedicatipns.
APPLICANT FILL IN BELOW THIS LINE 1
Name of Owner ki , 6. By Wit,'S L L it ---T, `-x% -. Address /370/ E. s5fr, ii'49 LE E- Phone g471—Y4 4 Q
Architect Address Phone
Engineer Address Phone
Contractor Address Phone,
5 / .d/��
'3
Legd1 Description of Property (Give complete description from deed, tax receipt, etc )
C LoT ���� 50 P��i �a r�flr��ricA.:
zi/i�
ej
DESCRIPTION OF WORK: New k Addition
Size of Lot
Remodel
Moving Bldg. Zone / Fire Zone -
Stories S(= Dimensions
Rooms la Baths
Sewage System 5 T onstd
(Fr., Conc. r., etc.)
j (�,)(•J #L .'X/& U'e-<1R Total Sq. Ft / 7 Valuation C-' )e.7'
1
Basement/` -'G Foundation Const C1 tL +� t a L Ch
_ Full, part, none
Heat. System t l l"_ Type of Roofing !_. c�a 11 Ext. Finish /`"��5�•L= t T-&�
Use of Bldg.
,vC/L`z 1— 4+1 i4- L cu,c-r
u
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 street • ) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
imneyL 2 Fireplace
(Kind) Ober
Int. Wall Finish LAJA-LL -2l?+`f1a
o. of Units .1.. Bedrooms
m
to
NORTH
RESIDENTIAL '- COMMERCIAL
SOUTH
State License No.
%7' 3_5 4,71 Ila
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
�w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ce•f ormation submitted is correct and there are no other structures located on this property except
ner or Agent Date
A L ' D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T IS IS NOT A PERMIT.
(( -VII xtig—ae)
Your street address will be :1-7e5
/ �JCL� 61/1/1 The zone is =�� J.., �L.
Sewage Permit Number Issued Building Permit
11-7/6 Receipt _ Is:�ed
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
J.B. BYERS
E. 13701 Sprague
Spokane Washington 99216
N
11
G r, S /2cAo
ADDRESS. S.
JOB # 41®
LOT SIZE 40 47( x t o
PARCEL # ?3T4// -300"/
LEGAL DESCRIPTION
La -f• Lf t3/x.4
77
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