1978, 03-22 Permit App: M5453 Residencei
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N.,811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 575-0
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 onwater 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 47235. ,
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 toenforcecovenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Engineer
Contractor
1'IVt/ZC? 45 (e/ -S Address
/O/44 /n.) P(A/S Phone n20120.2-.
Address Phone
Address Phone
Poex,“1::: (.0N6rgf GraIV .Address Phone
Legal 'Description of Property (Give complete description from deed, tax receipt, etc.) arcel Number
.V, 2 szn — QO—Z d
,COT /O/ RAocA% z U 1. s )171."-
passpOt.011
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot `'%O )CMO
Stories J Dimensions 62-Y-30 1-8X 1O
Rooms j_Q_ Baths_2c_Th Basement °6a_ Foundation Const
.r�
(Fun, part, none
Heat. System .LF4 Type of Roofing /t.DHi j Ext Finish nil
Use of Bldg. ite4/ D2vt3T/14L- U.)iTH AA. A4.PAL.4
PLOT PLANdJ
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-
t m and water supply lines.
Moving
Bldg. Zone / Fire Zone
em 52 / Const. dCj
• tI r., Conc., Br., etc.)
Sq. Ft. ��6�� //V�aluation rtrtd
Chimney 1ece Fireplace
(Kind) / (Numbs
Int Wall Finish (24 yhmr--
No of Units.. Bedrooms
Sewage Syst
Total
fonlG0 It
m
N
M
rtv
NORTH
SOUTH
I hereby certify 1 ormation submitted tff correct and there are
as shown.
AlAritt
Ener or Agent
A LAND USE OR STRUCTURE PERMIT
THIS ;,NOTA PERMIT.
3�
1�ur treet address will be
Sewage Permit Number Issued Building Permit
Remarks
State License No.
&t7coo e.,cG L'or/
Ind. Ins. Acct. No.
nESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit iatet/55/0^1
Heating Permit - Sin
Sewage Permit LC3231-,,, iCfr/
Plans Received /
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except -
J
zz-78
Date
ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE r 3
/ .-Qn `7 ea 4 s
The zone is
Receipt CFPG
Form 523 Bldg. Code
1
90'
14'
4.
I It.
t0
,Qo
GAC.
22'
52%sa.rt.
HO'
11,FT,
14'
Loi- ID
WRAC4a
Net4NTS,
1%":
C. ATP. LOO Ayr.