1978, 05-11 Permit App: M6667 ResidenceCounty of Spokane,. Washington
BUILDING CODES DEPARTMENT, N; 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Pa
GENERAL REQUIREMENTS PERMIT FEE
a✓
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 'trdinance. 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 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 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 naming with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL 114 BELOW THIS LINE
Name of Owner /%7/tI O 4066. Address JO/y/ /ti P• 'L 4 -ST 3 Phone qZz V1011.
Architect Address Phone /
Engineer Address /
Phone
Contractor 1.0004,..i:Co/lay,- Address Phone
Legal'bescription of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
t -242/10-1..a 9.0 „7 lead / Abi.fr
Aar 3 ,3/ooc Z
0
DESCRIPTION OF WORK: New
Size of Lot
Stories Dimensi�oins" I9Ti Ff A
Roans %' Baths Fu(, part enone Foundation Const
Heat. System �A' Type of Roofing COrotp Ext. Finish
Use of Bldg. Y.2S , LA ;FL fin tswQ, 4 n u It
PLOT PLAN
pr.4P /1 szet-9j-02-3
Moving Bldg. Zone —1 Fire Zone =�
r Sewage System 4gp Const. F%Z
/goo (Fr., Conc.. Br., etc.)
l WrT Total Sq Ftp' Valuation 13°00
Chimney ni
Addition Remodel
ttiD /.5f ci
771/
(Kind) Fireplace
(Nu befhj
Int Wall Finish eili.rnX.l�.
No of Units/Bedrooms 3
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.
N
NORTH
SOUTH
w
N
N
State License No.
10004-fre— 5:5-49/S4
Ind. Ins. Acct. No.
REST NED TIAL�COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit S/.st ifc 3 _
Sewage Permit la, t),
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informat on bmltte is c ect and there are no other structures located on his pr pertye�
- as shown.
pt
0 /i o
Owner or Agent Date
A LAND USE OR STRUCTURE PERM MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
GYeyr street address will be
/r//6
Sewage Permit Number
Inuit*
Issued Building Permit
Remarks
The zone is f .
Receipt 02.17 7 Issued
(47
Form 523 Bldg. Code
1
i
)
90'
Now41,
1 12'
1
1 0
1
1 192 . so. FT.
4'
528 so. FT,
LW'
De. 5MC AVE.