1978, 03-22 Permit App: M5411 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, 111.,811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 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. 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. Wben 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 actilon. County Officials can not bring action to enforce covgnants or dedicati ns.
%UPLICANT FILL IN BELOW THIS LINE Q+ jk' 0762
D//114o11.55,P,/ATLS Address /d/'4 /U• 2N15 / Phone
Name of Owner
Architect
i
Address Phone
Engineer Address Phone
Contractor - &2DOL r aON5rait/J r.( Address /6114 /i) AWLS Phone "4"---) "./-2
Legalbescription of Property (Give complete description from deed, tax r ceipt, etc.) Parcel Number / 'd GYf YR— 703
tA% B t?i/OC,c02 a octet a0 Nei/it s f4 '
pnR,Ae..of
DESCRIPTION OF WORK: New X Addition - Remodel Moving Bldg. Zone / Fire Zone
Sewage System 'SSaI,Bo Const. •
^'-Fa 'F Cona, Br., etc.)
� �-.p. "Total Sq Ft .[��+� Valuation .Sam
Rooms Baths ----711J
2 Basement - Foundation Const C�^f_ Chimney m?TRLFireplace /
Fu I, part, none (Kmd) (Number
Heat. Systemet-0/1.00-10‘._
A 1^ nn
y tj-IQ Type of Roofing ('_oma Ext. Finish"� 7/// Int Wall Finish dcy W f�0C_
Use of Bldg. ,tS2.S,OS.s-r.sic_ .A:,rM ,q Tl, 6P2.41,i 6Vz j.' No of Units,„ Bedrooms q
lit/"„'
Size of Lot __ 90X/40
Stories _L_ Dimensions c2 116 4- t B s/o
:1) is
Draw )!ketch with dimensions shoving: (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-
m and water supply lines.
PLOT PLAN
NORTH
N
i
SOUTH
State License No.
WOO L.. Fe. -5Scr4
Ind. Ins. Acct. No.
CRESIDENTIAI1 COMMERCIAL
REQUIRED
Plumbing Permit P C i SSe or(
rw - Heating Permit S n.. ,4 -S
Xle
in
Sewage Permit 1.)2.5 t
' 20 .%
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certif .information aubmjtted is correrj and there are no other structures located on this property except
Owner or
as shown.
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THL$ IS NOT A PERMIT.
r D
`ry,ry//st ) ` 1
�f •'��ur'street address will be � /'l' �i oZ l -COLA
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is
Issued Building Permit /57(ecelpt
I
sued
Form 523 Bldg. Code
1
•
Lorae, Scout 2
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Nos
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-es 518 st
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