1978, 04-03 Permit App: M5606 Residence Renewal Permit #M0649County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,
{/
GENERAL REQUIREMENTS PERMIT FEE ._ / t
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.cold 47235,.
SET -BACK FROM PROPERTY LINES. 'In most zones and under most circumstances,- a set -hack from the front property line; •of at
least 25' is required, .a 5' side yard, 15' •side yard from' a'"flanliing 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.
r ( p.
Name of OwnerJT .. i• r<8 rC - cd r4Sr Address S-0 'l
A (/ua i lenkLD4 Phone.? ; sus(/
Architect Address Phone
' Engineer Address Phone
Contractor C/914 F Address Phone
Legal [�ej o-ff Property SGive complete d ip ' n from deed, tax re i ,'etc.) Parcel Number a 6-T2- -/ %n0
O`Y_� I1 'rLi !1 cei
APPLICANT FILL IN BELOW THIS LINE
epos
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New Addition
Size of Lot 114 Y 1 31
Stories / Dimensions 3 3 >�
Rooms eBatha.3-Basement
(Full, part, n
Heat. System E FA Type of Roofing CI IyP
Remodel
Moving Bldg. Zone a_ Fire Zone �1
Sewage System S -'t onst.9.
/OKf6 (Fr.. Co c '
v -I' 7- J • 20 Total Sq Ft' /ra2? Valuat
LL Foundation Const. COIJCQC-ir ChimneyFireplace
1 ind) (Number
Use of Bldg. Taj! OF a(.e' 4n eerie
Ext Finish
Ti -r1
Int Wall Finish pR_Yr't'/fit_
L -
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
as sh
SOUTH /
minhereby ce C.. 4 Sohn oy-f$� d i'r'
e no
- COMMERCIAL
Plumbing Permit
w. Heating Permit
N Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1/4/97% d -e -e -
other structures located on this property except
-3
A L ' SE O RUC
T. ISN• 'ERMIT.
F
MIT MUST BE ON THE PREMISES BEFORE
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address w111 be
Sewage Permit Number
Remarks
L.) 6
5 / y 1 S P -L/ ET?P r?t'"t= jx /11/ ' The zone is V FRIssued Building Pe iReceipt 1t9.i Issued
Form 523 Bldg. Code
tl