1978, 03-20 Permit App: M5308 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (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 mast 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
i and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must bei
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
9i�U�
Name of Owner �`*'OO� 'A �'�� Address/1f 2 y��� COCA/N flcZ Phone 9d y -O 2.6)Architect Address Phone
Engineer Address Phone
Contractor ,misa ' Address 599O
Property (Give complete description from deed, tax recejpf,Jtc.) Parcel Numbeyr X7'3 ` 2 - /6 03
5. /N S A e2•5 F
Legal Description o
L.. (4
r/
5' .C. on. TA T ' E. Lwe 1 sV TR, !/o
ROADWAY R/WWI�,I N,/
DESCRIPTIO WORK: ewe_ Additir
Size of Lot ,d 0 X ciCd
//_
Stories f Dimens ons /lo .r/tl�
Roans / BathsBasement . ivj
_ Fu I, 4/
part, none
Heat. System /-* SrM- Type � Roofing
Use of Bldg.
I
T.
0
Remodel
w
e' Se Ce' S . ei D jt76t i4) hl7 s. �k'i
Moving Bldg. Zone / Fire Zone 3
em Cx S r Const. '"^'+��
/N CC
q (Fr., Co ./5-00
S Ft °ic S "'UM"
Valuation �__
Chimney /-'UM- Fireplace #4117#4-#4----
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b'�
' Ext. Finish XQyo
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4
Foundation Const
Sewage Syst
Total
C oA-cRtt'---
(Kind) (Number
Int Wall Finish der Gt/C.:/✓
No of Units ,Bedrooms /PfaA^L--
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
diwater supply lines.
NORTH a (d
propos
tem
SOUTH
I hereby certify infgrmation submitted is c
as shown. y.—`/�p {/ /f yj /)
/ \ ! f �Ownnee/rr orr Agent jC .
State License No.
Ind. Ins. Acct. No.
ESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I
there are no other structures locate th operty except
i
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/� DO�ONOT(WRITE BELOW THIS LINE ,�)g [J
Tour street address .111 be /(!-Z Z 0.1- �./i svt-r c/ "O The zone is /7 �V,p•
. Sewage Permit Number Issued Building Permit ..v' Receipt D 77i'�Issued
Remarks
Form 523 Bldg. Code
14
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e A 6 a,/-7,4/ -/ /Id, ?�/`