1978, 05-04 Permit App: M6109 Addition0r 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o0
GENERAL REQUIREMENTS PERMIT FEE 023
PERMIT. REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of au
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 onwater 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, 45-133and 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. Wherethestructure 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 staked. 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 obtains from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buflldings (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 - - ?vG+ Address %_ R/// nttjwpiai/o . Phone 7- &- '74 /?
Architect Address Phone
Engineer O Address Phone
Contractor Ra & 53 / drAddress r20 10 il. Vtala_ 4 phone 9.29 - 677
Legal Description of roperty (Give comp) a description from deed, tax receipt, etc.) Parcel Numb Ref
07.1—Ya 7
W loo' ei E e2nn' S /5/7. 9L' RJo-c4197 0 a.€
ROADWAY R/W WIDTH
DESCRIPTION OF WORKS New Addition Remodel
Size of Lot /00' % /4d'
StoriesMi Dimensions 10' 1( /0
Rooms A"* Baths N Basement A Foundation Const
,/ (Full, part, none /� �e�r.,w��,�n
Heat. System �/t T pe of Roofing fai4rn -.(X6s ° Ext. Finish
Use of Bldg. ZesSert 1 s
Moving Bldg. Zone 1 Fire 2 e 1
Sewage System ' CCorn.stC.
on.�
Total Sq Ft /00Valuation '�� not)
C�Chimney Abf(Kind) Fireplace Number
,I (Kind) (Number
�i A'tt % Int Wall Finish (Jr('-,C,tla
w._Y.w...� (J No of Units --Bedrooms /yes
ar
/0D' a .4i -tee -Len" -
PLOT PLAN
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.
NORTH
roY
r--+ I r pas ea -Q7'
10/ 11-401 44 on
! -Oci S e -
i
Co.rI sl. elan
0 0
SOUTH
I hereby certify information submitted is correct and there
as shown./
41361 G. {per -1
Owner or Agent
State Licence No.
T
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
• Sewage Permit
-4
Plans Received
Plans Checked - -
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
.57/9/7:
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Tour street address will be
Sewage Permit Number
Remarks
Is /// The zone is K��C-&- Y
Issued Building Permit rj. 61O9I Receipt iia _ Issued
Form 523 Bldg. Code