1978, 03-22 Permit App: M5455 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 i
APPLICATION FOR LAND USE OR STRUCTURE PERMIT'%46 Da
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. 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.
- APPLICANT FILL 1N BELOW THIS LINE
Name of Owner D/ Al f.. n A45 OC/f4T `2$ Address /0 /ht' 1•c) Pi tL. 5 Phone 9 u v 702
Architect - Address Phone
Engineer Address Phone
Contractor LOOD t..tC CDi✓$7,eGt 71&'t Address `"� Phone -"
LegarDescription of Property (Give complete description from deed, tax receipt, etc.) Parcel Number el -4C/ « Z-�d 2 — 90.2- 3
LOT / 3 d/COC- Z Q-a1o_dia s3 ttg , (4 S i 414-!'"ifty... I Pb -t • d -Q I
DESCRIPTION OF WORK: New "4 Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot qo A/4!) Sewage System 55PT?G_ Const GR._
PX
f1,A (Fr., Conc., Br., etc.)
StoriesDimensions '2, t0 g 66 v— cP / v Total Sq. Ft. ` ,ndI V»Iuation r 00 o
Roans g Bathe 7— Basement 1 it Foundation Const Gni-4 Ca -1U- Chimney- 7- .Fireplace /
(Full, part, none' (Kind) (Numb"erHeag Y^
Usetof Bldg. � ,a3t T` of ng W C4 p�A^ Ext sh 7?t� Int Wall Finish Aty t�c++-�.,
T\ AL No of Units/#/Bedrooms
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-
ttm and water supply lines.
NORTH
State License No.
(Rp.aot C G ZSSoJ
Ind. Ins. Acct. No.
RESIDENTIA -COMMERCIAL
REQUIRED
Plumbing Permit /'///SS/o+l
rw Heating Permit
An Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify innermntion,gubmitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MU
THINOTA PERMIT.
�
yst eet address Mill be
IRemarks Rift/ � M
Sewage Permit Number Issued Building Permit
-22-98
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
00 NOT WRITE BELOW THIS LINE
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The zone is
Receipt l/�r! /Issued
1 / 7ei(1�T
Form 523 Bldg. Code
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