1978, 03-13 Permit App: M5217 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS PERMIT FEE
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 and47.235.
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 flahking 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.
APPUANT FILL IN BELOW THIS LINE y %'9.1/ 6
Address �. L`� ��"2' �-��� �-
r /(��av phone 9.7v_..643
Name of Owner
Architect Address Phone
Engineer Address Phone
Contractor Ld Laf/y Con/ C T. Address / r £ tc/ /4 /
Phone YYi- q SY/
Legal Description of Property (Give completed cription rom died, tax r c int. etc.) Parcel Numpr i:1-- W 06/ &
/
ROADWAY R/W WIDTH =
DESCRIPTION OF WORK: New Addition v Remodel Moving Bldg. Zone / Fire Z e
Sewage System 5X( 577.::::::0 Const. c"'��
q IFr., Co . Br., etc.) o�
_ /'+ Total Sq Ft . {' Valuation 3 J 00
Rooms f Baths '"Basement '44 Foundation Const C /O A/e- Z e / e� Chimney '' Fireplace NAZI:err Ful, part, none) tet/ C� y, hi (Number/
Heat. System ' Xe S/ %V T _of Roofin ,V Ext Finish /C� I Int Wall Finish �� y W S /
Use of Bldg. a Alv. - <54 -cc No of Units LBedrooms ,{rtL-
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-
te.� and water supply lines.
Size of Lot
9' Y /Jr'
( X02. J_ -
Stories / Dimensions
I hereby ce
as shown 7
SOUTH
S ate License S�pt�
0 — Dom,
Ind. Ins. Acct. No.
C.-___RESIDENTIAU— COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/ 3/2g Z-0aG
motion subm ed is correct and there are no other structures located,on this property except
-7�
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/� DO NOT WRITT�EBELOW THIS LINE
/
Tour street address will be / 3 7 / 2 C.uiLeCc.OK/ $The zone /18�
Sewage Permit Number Issued Building Permit Receipt LGJ&Issued
Remarks
Form 523 Bldg. Code