1978, 05-11 Permit App: M6664 Residence:1
-c
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N;811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
FERMI/ REQUIRED. A 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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must beapprovedby 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. 45433 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 CountyorState
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 NO Ill O 46S Address 1 O I H 13 P I N ty ST 3 Phone 9 2leg a -1-
Architect
Architect Address Phone
Engineer - Address / Phone 1
Contractor WcOL.F Gurv47, Address Phone
Legal•Description of Property (Give complete description from deed, tax receipt, etc.) Parcel N
,407 4 , 13104,e_7_ U._O,tr any N
mber
1761 = @ ° pT, o
DIPTION OF WORK: New Addition Remodel
44-S ! z. r=
F )q5-4/ - l a a 3
Size of Lot. cip O
zioras' 4. 2C• KYO.
Stories / Dimensions
nAC fk4 t W ITtT B' lu
Rooms Baths Basement' lc
Foundation Const
Fu I, part, none
A Typo of Roofing to pip Ext
Heat. System
Use of Bldg.
Moving Bldg. Zone Fire Zone
Sewage System SLila Const. F!2
a,/ 7-8 (Fr.. Conc., Br., etc.)
l7i_C4C- Total Sq. Ft. Valuation 5.2-000
C -b ear
Finish
7///
Chimney M£T Fireplace
(Kind) (Numb_eSt
Int Wall Finish elly�
YRS , io t4L ATt• C\2. ar•Lh Dt<IL No of Units 4Bedrooms 'al
8t) ta.&o
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines. -
m
N
N
- NORTH
Aitkt+4,..>
I hereby certi
as shown.
SOUTH
y infortion sgbmit e
Y.
Owner or Agent
A LAND USE OR STRUCTURE P
T�/NiS IS NOT A PERMIT.
V %I J(
(3) location of existing and
(6) location of sewage sys-
State License No.
ZOO Ctar C 25:SSOf/
Ind. Ins. Acct. No.
RESIDENTIA - COMMERCIAL
REQUIRED
/2.02.0,S.5/0/.../.�,.o.
Heating Permit .Sts. tie,. S
Plumbing Permit
Sewage Permit 1/✓ , V
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
(°/? Yeal#A
located on this property except
is correct and there are no other structures
s --g-75
Date
MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
etOoY
2f /Y/a-0 4
Building Perml
1)
The zone is 5 FA •
Receipt�2 377
Issued
Form 523 Bldg. Code
4.
LorJJ`'� 8LocK Z.
VORAgALE yeijhrs MTH
90'
• 1
100
•
4-10—Y
22'
/040 st Ft
_ FQ4Kp4T_orl_ LINE
De5M —77.
18' —•