1977, 04-18 Permit App: M0600 ResidenceIj
Co„nty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 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 workonwater 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 allcasesby 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 !LLIINNE: t94; �u
Name of Owner` • / . i _ ' AI 14 i-�-r-a, Address 9�' / �`�"'��"-�A�'� Phone Z p2vr— /y
(7.-
Architect / / . Address Phone
Engineer Address Phone
Contractor 0 rtt--- Address Phone
.—
l_pgal Description of +ypprty (Give complete de lotion from deed, tax receipt, etc) a_ do 5 ci"<g - 9Q /1
DESCRIPTION OF WORK: New �— Addition Remodel Moving Bldg.Zone --/ Fire Zon%
Size o Lo 04 �-- S Sewage System ed Const.
qq r y.� (Fr., Conc6iB//r., etc.)
Fire
,,
Stories L Dimensions,�y r ' L ' � 4 ¥' g)CtO Total Sq Ft `/� Valuation
Rooms 5 Baths ' / Basement/ / 21 Foundation Const l . 4 -m -.c ti' Chimney Fireplace
/�!/fI 'npudII, part, no
r((♦r Klnd) (Number
Heat. SystemC t' Type of Roofing PJFlLi4 - - Ext Finish — /1 ( Int Wall Finish ?+' f
No of Units — Bedrooms
Use of Bldg.
'1 -
PL T PLAN
Draw sketch with diWensions 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-
tem and water supply lines.
RESIDENTIAL — COMMERCIAL
/J-�G
Xy' )Cite'144-41(--
REQUIRED Qf
tate License No.
Ind. Ins. Acct. No.
Plumbing Permit
Heating Permi
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
l
7.
I hereby certify information submitf€d is correct a . there are no other structures located on th's property ex e t
/_ -.der
as . own.
Own= or Agent
A LAND USE OR S ' UCTURE PERMIT MUST BE
THIS 1S NOT A PERMIT.
Date
THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE „B I LINE
Ye streaddress will bP" s o4 00 1
Sewn 'Permit Number Issued
Remarksd
Y
Y(
1'
APPROVED AS NOT
Spokane .unty :Idg. Code NO
Date
ILDING CO
ION FOR LAND USE OR STRUCTURE PERMIT %4 '"�
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.
RATER. 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. Inmost 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 and ,1e -required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pert 'fling'/to set-aqk and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Rbad Department and wo
performed in accordance with stakes. Points of ingress and egress must be approved by th' County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing build ng. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or ate Highway Departm- t.
ACCESSORY BUILDINGS. Accessory buildingrtga ::es, sheds, etc.) requ re a'separate permit.
RESTRICTIVE COVENANTS. Buildershould check provt .ns of covenants or dedications and easemen
which are enforceable tb ivil action. County 0 ills can not bring action to/enforce coven
��) APPLICANT FILL I BELOW THIS LIN ,t,� %-2� (o
Name of Owner • Ali. �Y%�Lt— lT _ ., LIN Add2EMIPBEftatart Phone- "
ArchitectainMala Address
Engineer _ Address
Contractor s1nallia Address
io fly of Spokane, WashoSon
S DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
1
and egress.
must be
1rt
the /land
s or dedlc 'tions.
Legal Description of Pr
W The
Pony (Give oom fete des
PORT, • 1 k/
iption from deed. tax receipt
A4 e2/..C. P
Phone
4..
9
Phone
Phone
r 2 - x 07-44
EccfrTT PI; O '5 v -
or/ t/3k
coft.
4l
ti, r.(l. /s2
DESCRIPTION OF WORK: New
Size of LLottS/CS X /-ri
Stories', DimensionsK-
Rooms Baths J Basemen
p 0 (Full. part, no
Heat. System ( I f d%Ail Type of,R
Use of Bldg. n •4!. /�',
X' Additio
.s
A ARK IADD
Remodel
•� F='!` /) Ai ,fz.0 r Ain:En ELY LA)
ing
Foundatio
♦ar\r
1l
Const.
Ext Fini
tiff
1 i
PLO
Draw sketch with dimensions showing: (1) property line:
proposed buildings; (4) distance to property lines and stre
tem and water supply lines.
10
m
to
N
/G 7H A v6
&3,
./
/3.5
/35
NORTH
MoJing B g. Zone '4 -0� Fire Z,, e 1
ewage System. -+✓ onst. -1 1'bani1'��
-
(Fr.. Conc., Br., etc.) dA
' Total Sq. . Valuation i0/ `%/d 0
Ch mney/t'nd) Fireplace) Nu`be�
! nt Wall Finish kid -Ca /*A'.t.L
o of Units _Bedrooms -C
,1
PL
(.) street or road lona
s; (5) dimensions of Du
(- RESIDENTI - — COMMERCIA
ions; f3) location of existing and
dings; \(6) location of sewage sys-
SOUTH
I hereby certify information submitted is
as shown.)
:rrect and
RE
Plumbing -Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
lens Returned
Pi Picked Up
Plana ailed
ere are no other structures located on this property. except
—77
Owner/. Agent
A LAND USE OR ST
THIS IS NOTA PER IT.
CTURE PERMIT MUST BE
THE PREMISES BEFORE
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
4 e 6 j4,Q The zone 1 KG!'+-c,�.%[T�i'.
Sewage Permit Number
Your street address will 'be j 116-49 Issued Building Permit Receipt �- Yj YIssued
Remarks
Form 523 Bldg. Code