1978, 01-30 Permit App: M4733 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
U
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1{ -
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 mast 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 BUILDING. 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
Architect Address Phone
Engineer Address Phone
Contractor lettt/4V14.1i- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number's - 6 e
Address __?2_,11,_111.‘14.-P-.__ Phone q
a
iIsLLI %Its �I 1 •. / �i/
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 9,./- X /FA to 7'
Stories3E�Dimensions -4 X 5a- --t-2 X%.% t ark/6 ,ECA' Total Sq Ft
Rooms Baths / Basement•g�" c".te Foundation Const i- -1" Chimney
�s -t (Full, part, none) i ,
Heat. System() 2CZ,S13 Type 1,4 Roofing .iii._:: Ext. Finish
Use of Bldg. e4, i Lfift#. -fe./.La
Moving BI
Sewage System
. Zone % Fir Zone
e-.
oast4'
(Fr., Conc., Br., etc.) G G
Iuation 17/, G‘5-4
14444.4a -
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street
proposed buildings; (4) distance to property lines and streets; (5) d
tem and water supply lines.
"CO
NORTH
(Kind)
(replace(
Nuh�her
te
Int. Wall Finish f�Ji "ri
No. of Units—Bedrooms '4 -
road -locations; (3) location of existing and
ensions of;t)uildings; (6) location of sewage sys-
2
/9'4,47/ p/4,
SOUTH
ne?i�-
PUT 4"
A-7
PM
710
Y1
-I
State License No.
AT -L-A -SC-
Ins.
SC
Ins. Acct. No.
.y7.9
ESIDENTIA COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed , r
as shown.y
I hereby c t'fy inf rmatio submitted is correct and there are no other structures located on this property except
/ -34-7g
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
741.4.412
DO NOT WRITE BELOW THIS LINE
Tour street address will be jej 3 J. *I.
Sewage Permit Number Issued Building Permit
Remarks
1 7 The zone is
Receipt /.574 Issued
Form 523 Blda. Code