1978, 03-22 Permit App: M5409 Residence1
0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N.,811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT z/
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 ■ith 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 obtainedfrom 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner PI "1 C4 ASS OCi4Tt5 Address /014 /t) to/N.16
Architect Address
Engineer Address
Contractor r t�0ot`✓= 001.1 S7. - Address '—
Phone
Phone
Phone
Phone
Legal;Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Pr's /4' s—v z - QOz 3
poi, pen Ago
/.07- / Z eitx,;[_2.
)(
qOx/'10
s 214'
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot
Stories 4 Dimensions .26 Ne 90 7 in G 0
Rooms Batha Z Basement 1-,t Foundation Const
(Ftn I, part, none
Heat. System L1r'4 Type of Roofing !'.ONtiP Ext
Use of Bldg.
O
Moving Bldg. Zone 4___ Fire Zone S
Sewage System C_ Const. re -2
(Fr.. Conc., Br., etc.)
Total Sq Ft / AIL Valuation s4 DOC'
Chimney .i3M.��Cn. Fireplace
(Kind) (Numb�er(�
Int Wall Finish CIA Y',9D.)X
No of Units .Bedrooms 3
GO
Ale.mset
Finish 7%11
n
g/W sem'
Draw sketch with dimensions showing: (I) 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 ; nd water supply lines.
PLOT PLAN
y
NORTH
frOlk
SOUTH
I hereby certify info oration submitted is correct and there are no other structures located on this property except)
as shown.
State License No.
tt)ooes C_ ZSSOFI
Ind. Ins. Acct. No.
CDRESIDENTIAL
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
•
pworsS ; o..L
Svb t+ks
L'.» 5f V / Yr.. q
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MU
TH IS NOT A PERMIT.
n,t ((
3 Tyourstreet address will bet, ///7
Sewage Permit Number Issued / Building Permit
Remarks
2F3
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
e zone i= ' VS' /
Receipt OA' Issued
Form 523 Bldg. Code
90'
1
1
1
1
1
10'
4
No
528 Sq. FT.
1288 st Ft,
Ice
Lot it
5‘ocv.
WOADALS
HEICAT 5
144&
C.AT Po.-1:10Av,.