1978, 01-13 Permit App: M4577 Residencey
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT',36�
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 cppnnectlons disturbs
the surfac I shoulders or ditches of County Roads, permission must be obtained from the County Engti er's Office.
SEWAGE SYS EM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
SET -BACK OM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front jproperty 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 he
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit 113 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.
a art/
APPLICANT FILL IN BELOW THIS LINE
ff !I RC1 1:2444144.-GL9gad: (o
Name of Owner . ��(-id .YN.(/ l_A'M�(/ Address. • f ..t _/_�'.. :� Phone 9a -Q hf'�3
Architect ( Address Phone - -
Engineer Address Phone
Contractor J/2MiI.Q . Address Phone
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number PTN- /ass / - 90 SS
u/,/,5'I1E. ' /' ' tsa #f S.E it. 1.5 5jel-Ate f ,Exe• .5.79..
DESCRIPTION OF W.
Size of Lot
RK: New
Addition Remodel Moving BI . Zoe / Fire me
Sewage SystemConst
(Er., Conc., Br., etc.) a0
Total Sq Ft 9 74, Valuation .-DOU
Stories'y'ff Dimensions 21, 3G. sx 8 DECK
Rooms � Baths
Heat. System
Use of Bldg.
Basement ,<ZIGX�Foundation Const SdL?wri/ Chimney ireplaceln��P
Ful, part. none
Type of Rociiing ixt. Finish
/Mr✓rrf D zzyk zt
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
RL./.ScE AN/45
A
T-///
(Kind) )rS (Num r
Int Wall Finish rt-��+'W��
No of Units—Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I hereby certify infor lop nufitted is correct and there are
as shown. //bA
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N
y
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
er or Agent 7
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
($ 4Q midei
DO -NOT RITE BELOW THIS LINE nn-�. OO
1
Your street. a dress will be �� w / I S The zone is 0.4/714-C_Ctant at
Sewage Permit Iiiumber Issued Building Permit i' Receipt /,2 A/9 Issued
Remarks
-7F
Date
CONSTRUCTION COMMENCES.
•
Form 523 Bldg. Code
•
I
9
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C)CH ti)114,-,A-4- I14