1978, 04-03 Permit App: M5535 Residence•
(Th
Cininty
1-
Cbtinty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,
GENERAL REQUIREMENTS PERMIT FEE DD
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 I
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 tbestructure 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 1s moved on a County
Hlgbwas, 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 9P206
or State
Name of Owner C'• f/) l JtL. Address
Architect Address
Engineer r �� Address
Contractor g. GC/. f! �Lr.e � Address.
Legal Descrizion of Property (Give complet description from deed, tax rec -tett 1
d- !r" Al �A.v�Z/ cr` l-�.5—.e .0 7
Phone 6•:911 _14
Phone
64
R��hone
64hone ‘42-4"—A-1-9
Jt_
€r r
--ager7 reer2.4
DESCRIPTION OF WORK: New \ Addition Remodel Moving (BIldg. Zone Fire Z ne
Size of Lot 1 001\ ' �•7tD Sewage System4 s6
f p Fr.. C c., Br., etc.)
Stories ) -1-: Dimensions 02 X QQ' a L x 2t 'f• .2,c9 ) a G. Total Sq Ft /r7 Valuation
Rooms t0 Baths 1-1 Basement u}tr Foundation Const [.�''h!'it-!�� Chimney 0 Fireplace
(Fu 11, part, non .�• (Kind) y iNumber .
Ext. Finish Thi I Int Wall Finish,
Heat. System$ /Y. ale/ Type of Roofing-
Use of Bldg.
Dr g4t sketch with dimensions showing: (1)
proposed buildings; (4) distance -to property
tem and water supply lines.
NORTH
/.C.% LiJ /`7r Q
Y
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
!L1 No of Units _ BtBrooms
IDENTI >— COMMERCIAL
SOUTH
I hereby certify information submitted is correct and there are no other stru
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
etures located on this property except
`-3-i
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS I5 NOT A PERMIT.
19-ne ,ttt DO NOT WRITE BELOW THIS LINE
Your street address will be
4 Sewage Permit Number,
Remarks
1
Issued
Date
CONSTRUCTION COMMENCES.
riding Permit
The zone is
Receipt 10,71.gIssued
Form 523 Blda. Code
ter- Q
/ov
C;:i} 1911 IA) -1--,l2tO x/7/0
Lot
BL.ock 2-2 EARii wN_2g_f0