1978, 03-22 Permit App: M5410 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR .LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 57
PERMIT REQUIRED. A land use or structure' permit is required by County Resolution to erect a building or structure of any
kind oralter 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 minter 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 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 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.
--O
APPLICANT FILL IPI BELOW THIS LINE
020
Name of Owner D/N1-4o 4165 GC/Art$ Address / 0/4 ,O Pibiti Phone 9Z2.0',07.-
Architect
Z20'2OtArchitect Address Phone
Engineer Address Phone
Contractor lit.,00t--P C.,04.57)24./Z T/ort Address --
Ph e
Lega?Description of Property (Give complete description from deed, tax receipt, etc.) }ger r'` !' /Y7312- fb•Z.3
Lor m1 5WOGit z V,tL.iLt c r-QQ 1La S, 5 I./; -
Parcel Num
DESCRIPTION OF WORK: New X Addition
_ . Size of Lot 4nrc /hit
Stories / Dimensions
Rooms _•Baths Fu
Heat. System EPA
Use of Bldg. �2 t:
Remodel
Moving Bldg. Zone 1 Fire Zone 3
Sewage System SEPT/e-- onst. Fit
�(Fr., Conc., Br., etc.)
Sq Ft -2®7/ $ Valuation 44300tl
Chimney Fireplace O n+-£
(Kind) (Number^� n
Int Wall Finish dorl y /e')nJCJ(
'it of Units .Bedrooms 3
PLOT PLANA` °'`'I
--4.5-,46-z_ %- e /t (V Total
Basement�.�� Foundation Const
1, Gbnlr'�2
part, none
Type of Doti Cu E°xtt. Finish i// )
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-
teand water supply lines.
NORTH
SOUTH
State License No.
LC700 i -PC_ ZSS®!1
Ind. Ins. Acct. No.
612-ESIDENTIA - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit 9v4.44.S
N Sewage Permit 50051-Jarmo/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
•
I hereby certify informs ion submitted is correct and there are no other structures located on this property except
as shown. �r
C lJ%� 3 -7z -,t3
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS NO A PERMIT.
Or t-
'
Your street address will be E /��o 7
00 NOT WRITE BELOW THIS LINE
Sewage Permit Number Issued Building Permit
Remarks
The zone is
Receipt dR6O
Issued
Form 523 Bldg. Code
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22'
/0110 51 .4
_ Fowilutro.N_ LINE
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CRIT7t L DO !WEN U E
18'