1978, 04-12 Permit App: M5792 Residence•
1 GENERAL
County of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
REQUIREMENTS PERMIT FEE
/iartir 7„z:
Q(�3�
au
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 most 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 vork 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
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and vork 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 ` `4, `D1t%S. t (.., Address 00776,-)._ Phone `el ya-`/.63
Address
Architect 1 Phone
a
Engineer 1 `"_+_^ h Address Phone
Contractor
Address _Phone
Legal Description of P y Give co Ito description from deed, tax recaim, etc.l Parcel NWnber �-6 .� ci'1-
T irk lis'aY( zwti ,.V
ROADWAY RAW W1Dll' a' D/
DESCRIPTION ()Ft ORK: New • Addition Remodel Moving
tkSize of Lo [t JO 1 Z tt ,f,�Sewage System
cw„e`Storiesii Dim dons B X -.5 ,4 Z``� 3 Z5K I L Total Sq
C
Blt Zone / Fire Zone 3
i( etc.)
Ft f 611 Valuation '3 G�'o
Foundation Const C_'t Chimney I3
Coust. 'V
I (Fr.. Con .
_� r Fireplace
Rooms Ba s Fu I, part, none) o (Kmdl (Nu ber (p,
Heat System Type of Roofing Ext Finish �'D' 71 Int Wall Finish D lr4 �M'� t'
Use of Bldg. �/' � ty No of Units ',Bedrooms
PLOT PLAN
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-
tem and water supply lines.
NORTH
m
N
H
SOUTH
I hery certify infQr�atj,Qn submitted is correct and there are
as shavrl: 9).1p
Own r or Agent `
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW1 THIS LINE
Your street address will be S '`IO Il Z�tvt. \-11‘e The zone Is ,
Sewage Permit Number Issued wilding Permit n n Receipt=ued
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permi
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this prop rty except
+047
Date
CONSTRUCTION COMMENCES.
Remarks
s5/q
Form 523 Bldg. Code
//cy s Efrg y 04-tvA/
Lull) l3coo\ 1g
Ede&)' D/}vunl 2nd• /add;r/on! 1
/*LEL_ 4 a6SyZ-Z`IZ/
Y
/2 S
eL&V
/0C/
20
1C6�DEWALL
6a\
l/lT l �t..� _ 7As ins -NZ
01
/y tl
/]6
ill
/0X/L
ceDAQ
Dec/
4I
(00D
�6L
h"
/sr Fl = 65
Cotc.
vtwewa1
U: ?0",
arc/
gS �
Omty P4 -14(k/
g
I