1977, 04-12 Permit App: M0652 ResidenceCounty of Spokane, Washnngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
D. -4? -9"
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
formed 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+%AH es S 8140 keen, 'W'7 M''" Address 5r'(C6lun//a RACY Y, Sal •'hone ,V 3''.2`4 i1
Architect Address •5 C'C.2e one
Engineer Address Phone
Contractor S/1HC—_ Address/r��1l Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) YAPret f fh. aI: Ci 5/.2 — /.5n.2.
Lo -t JA! s 1=4/21/ D4wAi 4nn.t/on/
DESCRIPTION OF WORK: New 2 Addition
Size of Lot /3,2,5 ' X 104.29' X 13_2,5
Stories Lk Dimensions
Rooms �j_ Baths
F
Remodel Moving Bldg. Zone / Fire one
x ' Sewage System _��'= �'i C' /'��
Y C/ y onst
Fr„ Conc.. Br., etc.)
as? 3X :go / x 3:1' �tn/x -Jo/x/4' /�`'-ck4otal Sq Ft Veluatio d7 ;Oat")
Basement
non Foundation Const aONC1 /'P.*C_ , Chimney1T ireplace -2—'
( rnd) (Number
Heat. System ..Lee. , /9. Type of Roofing 0-6•4790-6•479Use of Bldg. /0rt✓ad"r /le sj deVe e..-4A1,4t1r
RES,D6s'vhel
Ext Finish r 1 - /LInt Wall Finish Dty 14.Mll
t/iYrLrr L)€trk 74%r/ched itt'No of Units_ Bedrooms ✓T
400'/ i.V .64/95
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH IDENTIAL— COMMERCIAL
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see 4f9-chccl
5.
I here., ia�.f su.. tted
as show. �, ar
State License No.
Ind, Ina. Acct. No.
REQUIRED
/
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
orrect and there are no other structures located on this property except
Date
A LAND USE(OR - UCTURE PERMIT 14 T BE ON TH - PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT ERMIT.
p-vi_'74,6410 DO NOT WRITE BELOW THIS LINE yp ry/
Your street address 1111 be .2 .3 // ,J7 14,1-ririZ�irLQ�i�4/ The zone ibs,a'I.Li.2I/Yt"e . 4.2.. .1.4
Sewage Permit Number Issued , '" I Building Permit/ K/% .LReceipt 9 1 t,% Issued
Remarks -
Form 523 Bldg. Code
Lo--r__Lo Ile _770- 4.
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