1977, 04-18 Permit App: M0658 Residence-'7
Ctnty of ' Spokane. Wasklgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._-1y1CJ
'c"-°
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 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. 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 1.0 . A aka aLl ) Address E 76-20 VAv Ll b2 Phone C)240-04`42
Architect Address -p nlcI n.at'S Lhi- Phone -.-
EngineerAddress 11 ' Phone
Contractor Address Phone
LegalD scriptiof Property (Give complete description from deed, tax receipt etc
.1. -�n oa`/s33—oFti/U
Lo i f 14 ND too C' 1-1z O lr l o% ?
Ri_,Lc 2 12,(=-772 72,9 n1 S_ 41)0 .
DESCRIPTION OF WORK: New Addit
Size of Lot /
ion Remodel
Stories Dimensions 3 9 ]/ t) -2 n and n 6X9 0
Rooms Baths % .ent i Foundation Const. ran., n+ a otrTfS Chimney Et/ -A: Fireplace a
Full none) IKlnd) (Number
Heat. System • Type of Roofing 4W>, p Ext Finish 1 —I.)/ Int Wall Finish TR y Z+oj2�--
Use of Bldg. C�c� (Tdsca9 yr e4c1-- / 014ci tr(r No of Units _Bedrooms 3
L..% e'` F'/NIsha-a & ErnaNT PLOT PLAN
Moving Bldg. Zone 1 Fire Zone
Sewage System Cerp iia -Const. Fieirrrna
(Fr., Conc., Br., etc.)
Total Sq Ft a4I Valuation zRp.m ''t
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL — COMMERCIAL
r4 s
I 15,
•
I
as shown.
SOUTH
State License No.
41t..
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
in Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
hereby cert .,,�..•._.. is correct • d there are no other structures located on this property except
_ ,• 1/ lie— 72
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
,' a zone is ,-( .( A /•e .J/I ll '
tryt
ng Permit n/..'( ceipt "% G. Jsued
Form 523 Bldg. Code