1978, 01-16 Permit App: M4601 Residence1111
County 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 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.
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 •
OU
Name of Owner itt •• r a Address (33Ctz 1 I 'Dilia Jt phone
Architect Address ttq% 4C0 Phone
Engineer ��)_ Address 1 Phone
Contractor j- E•14)Pe 4 1/16. Address e1";-)( .0 L1 Phone
Legal Description of Property (Givecompletedescription from deed, tax receipt, etc.) Parcel Number
/ ,C 1 , '5I -Ce -t- 1 EAP.tt( 17 w U stwq,1T1611
2.45-12.--40,40A 1401
DESCRIPTION OF WORK: New 1-****" Addition Remodel Moving Bld Zone Fire Zon p�
Size of Lot WO x t440 Sewage System �R'1' (tL' Const.
Co
sFP.!IAr.V4etc.)
1E.
Stories 1 Dimensions 'ft✓ !t L/`ttr Total q Ft 16-7- VaIut�a'Llayri
—�_
toile_.
Rooms I.,-._ Baths Basement pityFoundationConst `"�tle-. _ chimney W'�-1aV r' epiace
1— IBM, part, none (Kind) ff -ppt�yb�e%
Heat. System l ,. VicType of Roofin 44 4 ' Ext. Finish, Ate'"' 1t 1 Int Wall Finish VI_
t-cc�tt-•
Use of Bldg. ' I`*Lj 4tI va-" h4)41/ 4VJI ( No. of Units I -Bedrooms Z
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
pEhaP
ado 4fiI-
vizAib
rtTr&P
1$O'
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Y
SOUTH
State License No.
3-0(-- - E %I.-74PQ
Ind. Ins. Acct. No.
RESIDENTIA - COMMERCIAL
REQUIRED
Plumbing Permit
pr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Ihereby certify information submitted is correct lan therf are no other structures located on this property except
as oho-Inn.1%2, t I .I/., }�J/�immetti 11- tWjMk Vl TiVin -Ni AU 1(.0, I41/13
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST 16 ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
.(9,,,, 4,p if) DO NOT WRITE BELOW THIS LINE
Your street address will be c2//..."5-„22, Gj,Le.--i-tLgi.4,e_/
Sewage Permit Number Issued Building Permit
i/J �
, t, I
The zone is v(/4dfq/e A7 f.I,te
Receipt /%1/ Issued
i
Remarks
Form 523 Bldg. Code