1978, 01-30 Permit App: M4700 Residence1
C 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with
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
thesurface, 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 47235.
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 OP 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.
PLICANT FILL IN BELOW THIS LINE 9. 74/ 6
Name of Owner . - - - c Address AZ U * /1/ phone ?a.? s- i s 7 7
tenter
Architect Address Phone
Engineer Address Phone
Contractor
Address
Phone
Lega(rDescription of Property (Give complete description frim dey� tax receipt, et 1 Parcel Numb '° W .2 3 J v7- /)0/
A / S e? .Gt t lir u —a— — G�fA0 j A Nutt
.? r YY — /02
DESCRIPTION OF WORK: New
[/ Addition
Size of Lot ` D )C / )Z r
� l
Remodel
Moving Bldg. Zone (11
r /
Fire Zone
Sewage System rJ re Tr G Const. r t Q
(F '
Stories1 D' of0 X S/ v t 2-c)
X 2 G X I y
L Dimon
Rooms .,,L_ Baths r Basement �V�I Foundati
(Full./
part, nonenn )
Heat. SystemA ' C /17:4 , Type of Roof. g dN 7/ //
Use of Bldg. lli4�,
2).9-4-07 "`�'ry
Total Sq Ft
on Const e06-Cr$-e.-�L— Chi /Fireplace
(Kind) Diet. (Number
Ext. Finish Int Wall Finish Die w 4.
y—/ oo of Units _Bedrooms
PLOT PLAN t stir f
rty lines; (2) street or road locations; (3) location of existing and
and streets; (5) dimensions of buildings; (6) location of sewage sys-
Fr., Conc., Br. c,1GvFs
Valuation �•(!/ �/
Chimney e
ra
l
Draw sketch with dimensions showing: (1) prope
proposed buildings; (4) distance to property lines
tem and water supply lines.
ere
N
N
NORTH
SOUTH
I hereby - t"fy inforpoat otl submitted is Correct\ and
as shown. 'L
State License 2 o.
CO ^<L — ttf O'1 Opw/
Ind. Ina. Acct. No.
COMMERCIAL
QUIRED
Plumbing Permit
w Heating Permit
NSewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this
% 'ZO— 7
p;operty except
Owner .r Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
. THIS IS MO'DA PERMIT.
014 3-64 -7
Pout street address will be
DO NOT WRITE BELOW TH15 LINE
Date
CONSTRUCTION COMMENCES.
S, /573
sewage Permit Number Issued
Remarks
an& fiA
Building Permit The zone is ft
M 'Me Receipt / Y 1 Issued
�J att..,?"/7 U(o..0 V
Form 523 Bldg. Code
4-
2.
H
-t
tit
,74
Ir
9b '
LOT* .1/ 131_0c K? SuLLi an y Add
6A, Cott i.v5