1977, 10-10 Permit App: M3678 Remodel•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /l �/
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 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 running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
/�%'1 ,/ ,�.ytAPPLICANT FILL IN BELOW THIS LINE 1�fi.eex,,e_teo, /`90/G�
Name of Owner // .4-!. .4. PC,.r .y Address �� �i'�iFiC.P� ✓ ' _ Phone 9074_ 3ao 7
Architect Address Phone
Engineer
Contractor
C.
_
Address Phone
Address o
Legal Description of Property (Give complete description from deed. tax receipt. etc.) Parcel_Number 1 o a S 4,1- 9e / SL
Phone
%a
57, e s /,mac'o' spm / sE c 5(C%
DESCRIPTION OF WORK: New )( Addition
Size of Lot /53/4'
Remodel X Moving Bldg. Zone / Fire Zone 7 r
ewage S stem s - .o f Const. ��+-+�' 42
i (Fr., Co Br. etc.) o
Stories r� Dimensions
Rooms Baths l Basement Fou
(Full, part. none 1�
Heat. System 47 613 Type of Roofing /✓fi/
.SFS 34-21€6.41:4 '�' a 3'2X3zfotal Sq Ft /.360 Valuatio"n ..}/ OOO p
ndation Const �✓�� Chimney ( Fireplace "4"/74(Ki d) INumher
Ext Finish N/�- Int Wall Finish
Use of Bldg.
(a i rno 4- '54) PLOT PLAN
raw sketch with dimensions showing: (1) property lines; (2)_street or road lo
proposed buildings; (4) distance to property lines and streets; (5) dimensions of b
tey-.a d water supply lines.
NORTH
% /
�i o/97
detret T - /3, (.7
* `fin 35AT
I hereby cer
as shown.
x
SOUTH
No of Units Uniqt
�r y‘
catidbs; - (3) location of existing and
uildings; (6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
Ja-.6k' so-*aS,J
4
effESIDENTIACOMMERCIAL
REQUIRED
Plumbing Permit
tw Heating Permit
N Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
mitted is correct and there are no other structures located on this property except
/ty/c/7 7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
er or Agen
DO NOT WRITE BELOW THIS LINE
Your street address will be // /i e -W ./e -Z. GI The zone is (2' ew
Sewage Permit Number Issueeedd Building Permit 3�,1 Receipt 0 Oj G0 ued
Remarks! 4 /V ///) / —cf1./ - „e-71.k.,-.--y.i %�i11
Form 523 Bldg. Code