1977, 04-05 Permit App: M0481 Residence4
Ct. arty of Spokane, Wash.igton •
BUILDING CODES DEPARTMENT,, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._ 570trA
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. Constiuction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
a`� n
WATER. Water supply must be approved by the County and State Health Departments. Where work on water corrections disturbs
.t,» 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 -RACK -FROM PROPERTY LINES. Ih most zones and under most circumstances, a set -back from the front property Line—a 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 &R>/(/A jSt/A95-2I7,J Address 544 /41393 6P/" flt/5/ Phone 9c2V 9'2-2-3
Architect Address Phone
Engineer//��//�,,,, Address - Phone �/
Contractor .4/117.4.1e...-7944157not-) Address 84 /4393 nPP 9 9.2/9 phone 9'° 7 222
Legal Description of Property (Give com fete description from deed, tax receipt etc.)
T 4. az-,e 3 I/&eft/Xt, _s -'d /�O.
8&A/ Sf 6. ? i /ifs 4!2 -oJ/.�
DESCRIPTION OF WOORK:New • X Addition • Remodel
!�
Size of Lot U x/51Zi
Moving Bldg Zone .
Sewage System CC/WC-
Fire Zone 3
onst. reign,"
(Fr., Conc., Br., etc.)
Stories / Dimensions /X30 27 20/--(20 n a/�) Valuation S. -CI -n-3
Rooms Baths Basement r Foundation Const G Chimney .�-- Fireplace
E.:
Full, part, none /' �yrr (Kind) (Number _
Heat.'System E. Type of Roofing 4/170^ Ext. Finish 717/9%i.[91r& Int Wall Finish' ��fl- L
I� C£ -S / t -AJ •64-7004.0No of Units L Bedrooms 2 ^
Total Sq •Ft e72
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.
N
-1
NORTH
C'ESIDENTIA COMMERCIAL
S€1L 73t143 s,*r
SOUTH
I hereby certify information ubmitt d is
as shown. r61�)
State License No.
To -HN s5 -4333c7
Ind. Ins. Acet. No.
�i-006C7— ge .-
REQUIRED
Lit/
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
IJ O j -
correct and there are no other structures located on this
OwnerrBen
4-s -7'7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THISet'TA 17.
/� DO NOT W ITE BELOW THIS LINE
C
property except
Your street address will be
Sewage PErmit Number
The zone 1
Issued Building Permit/y( 41E'/ . Receipt r Issued
Remarks
Form 523 Bldg. Code .
1 cfAJ .
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BLAINE JOHNSTON `CUSTOM BLDG.
P.6._ 80X 14393-
;OPP.ORTUNITY, WASHINGTON "9p214: