1978, 01-07 Permit App: J 1636 Residence-LJ I -- G'
County of Spokane, Washington
BOLDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
A' "LICATION 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 mast 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
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.
t
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, Y
ems APPLICANT FILL IN BELOW THIS LINE
Archic
Name of Owner ems _Ind , Address /�S.)9 E. S,7rliue pone1dj4y'7T /
t� t r/./ , Phone Engineer Phone
/',
Contractor H4/ to 7 ei sil Inc, Address /3S c Phone Lv/¢ - '77�
Legi Description of Property (Give complete description from deed, tax receipt, etc ) 97,4"e #
_ At.fI A— II. -1-44ef .16 of tiek need Nei, A/ df -A 6f J 47
Ave, __ e
i
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot %t7.-3 6' )( /.6kS-
Const. f ('A -me, Dimensions /D ��( i,�/' )( 'X 1 y'
(Frame, concrete, brick; etc.)
Rooms Baths / Basement u /I Foundation Const Cid Re Te-
Moving Bldg. Zone
Sewage System
Total Sq. Ft. /A 48'
/ (Full, part, n ne)
Heat. System e /e17'J,'e.) Type of Roofing Gram, • Ext. Finish /I10/ It
Use of Bldg. ded.5'
Garage or Carport Attached
(4)
Chimney
,g J,g Lh e ,/ /4/'y ate' 94,ewle.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines. —
Fire Zone
Stories
Valuation y/9 eWei, OD
Fireplace
(Kind) (Number)
Int. Wall Finish gyp- 411-'1
No. of Units _ C_ --Bedrooms 3
Private Detatched
NORTH
SOUTH
I hereby rtify informat'.n submitter is correct and there are no other structures located on this property except
as shown.
Owner or Age. Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMS
TIS NOT A PERMIT.
(9- �� DO NOT WRITE BELOW THIS LINE
47e3 :� 14e., `
(3) location of existing and
(6) location of sewage sys-
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 _
Your street address will be
Sewage Permit Number
Remarks
Issued Building Permit
ICES...
HIS
e zone 15
Receipt ¢3T _
ued
CJ
CD
rc idr'i 5orth of Herov rlvufl;_ie ex,..e t Lhc ,''forth 23.3
-0-
15'
78.36'
5q '
+
4
53'
0
53'
0
r-�
TW Q gal. `d rywe l l
0
r Basic 960 / garage
+14 40' +14
-0-- '42"north-01
Oj ,,12" via 1 k
•�9
30'
R3�
78.36'
H. 4703 Evergreen Road
-0-
a 0
-0-
N`9..36'
ca:
-0-
South-
0
LC)
CV
South --North
East
$19,000.00
960 sq. ft. Ras' her
14'x22' attach�' c;ara
3 Bedrooms
1 Bath
Job 261
Level Lot
Center of Street. 0 -
Paved Road