1977, 08-02 Permit App: M2644 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 'SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a -4:56"
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 meat 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 En r inter'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 structuri: 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 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 2 S Address
Architect Address Phone
Engineer (t /d� Address / �/ Phone �t
Contractor �1 CALPTI[i I�CJN.ft l: �.O . Address ,E. VA/94 it mi✓[L`7 ','v Phone 921 32 S
Legal Description of Property (Owl complete description from deed, tax receipt, etc.) Parcel Number `
Ler 4c% ANn r#e- �drw r t for Sig - nzacze222 - �.s fif/A, -w ✓e, ,4TXwN,'
�. %9r7�. uP/7/✓fJ7�, ✓.E phone 9ei -‘311,4
DESCRIPTION OF WORK: New X Addition Remodel
Moving Bldg. Zone / Fire Zone 3
Size of Lot
t q f (( 1 tr �l 1 ff
Stories Qr 6 D i mansions °LP -LI x2�-ri 1-2t-I'n KZCA -(rj Total
Roans r Baths / Basementnent Foundation Const l.C%N)en ere.
(Full, part. no 1 /+ 1
Heat. System ,iI &A S- Type of Roofing ( /)FSM, Ext FinisheYYOOb
Use of Bldg. FS/t7ENCa vvt/Arno f.K� /'4444&s it S'dH•-O.EG/K
0 PLOT PLAN
Sewage SystemPfi(' 74.dg" orisAr.4'F=
onst.
r., C $, Brfsetc.)
Sq Ft -� yaw'
.�r5; , co
Chimney (Ki a' Fireplace(Number (Number
Int Wall Finish rThrrikliALL
No of Units .L Bedrooms 2
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-
:M IG drcr,u
SOUTH
d is correct and there are
State License No.
233 - cb/- 9429
Ind. Ins. Acct. No,
3/ /110
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit EMeI*,SOI/ 1 "
Heating Permit CdSrmM //rt.
Sewage Permit (VONA/ %A/C/1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
d41. 2y MY/
Date
A LAND USE OR STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will be
DO NOT WRITE BELOW THIS LINE ,/
301f3 Ez)&e.A.,:Tn,✓ �i>e
Sewage Permit Number Issued Building Permitd
Remarks
The zone fa
Receipt anus
Form 523 Bldg. Code /
o1 i T-oAl Ao.
ADDAFJJ - A/.3,018 6J�6f7oh> /13.
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r-
/,/47:7k -:(vol
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417.61 ?R4.2P.
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