1978, 03-22 Permit App: M5452 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920
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 ,zthe-'County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of. Count:p koads, 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. _ Ii!
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property -line, of a
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 Ils P//f fAO /92SY1/Q7L5 Address /0/g Its. AA2zS phone 9�2n7� `Z
Architect Address Phone
Engineer . Address
Contractor . sohm'-F Canis 7,Eid!_7id,J Address
LegaPDescription of{Property (Give complete description from deed, tax recei t, etc.) Parcel Number
ACT // aka. ? tI.¢.ta ^i 1��
Phone
Phone
+fie Vt.
At P of
DESCRIPTION OF WORT( New /` Addition Remodel
Sire ofLot ' 10X/xf0
Stories Dimensions°"
Rooms _�.._ Baths ?► Basement
Fu I, part, non
Type of Roofing
t-35 r &. 4I .0-Q L.3.4.Cri Act mag_
PLOT PLAN ettel "'7
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
'L/o),(o8
Heat. System
Use of Bldg.
Moving Bldg. Zone Fire Zone
Sewage System 51pram Const g�
T f> (Fr., Conc., Br., etc.)
'f- Sx 1 0 Total Sq. Ft. lie ,._VValuation Sf 000
Foundation Const coni is D *Q Chimney -. ktati'' Fireplace /
i (Kind) (Number
CCi'4.p Ext Finish %l//
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
t m and water supply lines.
NORTH
Int W
all Finish cEd1/LUa-a.Q_
No of Units 4Bedrooms
Mss
itAt
SOUTH
I hereby certify m---Iten--— ed
as shown.
e Z
Owner or Agent
State License No.
fU 00 L-ir- C Z5-5-04
Indj. Ina. Acct. No.
.RESIDENTIAL
COMMERCIAL
REQUIRED
•
Plumbing Permit r R/5S/o:-(
wr Heating Permit joss r-K..S
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Date
A LAND USE'OR STRUCTURE PERMIT MUS BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIST NOT(A PERMIT.
DO NOT WRITE BELOW THIS LINESVC
3/Your street address will be E . Y e zone is
Receipt Qb c I ed
Sewage Permit Number Issued
Remarks -
Building Permit
Form 523 Bldg. Code
90'
•
•
N
1192 sal, FT,
L4•
528 so, pl.,
14•
CATALllp AVE.