1977, 10-05 Permit App: M3661 Residence773,
-'i
APPROVED As , ter, l
Spokane County Bldg. Coda Dept. C
County of Spokane, Washin : i '
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, �H►
IN Ae __ ____ �V
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .
IP
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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
Name of Owner MifiRl< �( Address Phone
Architect Address �y / Phone
Engineer Address 9,706 Phone
Contractor MA1K b' BLE E S Address . 91Q ID eL 1 U one q€144-43 ( R
Legal Description of Property (Give complete description from deed, tax receipt, etc.)tcID 4L5 QHS fJ
LOTa BSO( �.. FAIRAC RES E?EN-AT-4A Sc.. � q '1 a %) ��11 E
fanny
DESCRIPTION OF WORK: New X Addition Remodel Moving sq.
Zone ._ Fire Zone �
Sewage System .d`. -' onst. F ft
(Fr., ConcisBr., etc.)
Stories Dimensions HORSE 46XXi, ('Alit l'1 o1... Xe1b Total Sq. Ft l�Valuation* .39)000.00
Rooms" 1 Baths 1 Basement(AIL Foundation Const CONC2f'T .. Chimney MCTAL Fireplace 1
(Full, part, none T" (Kind) (Number
_
Heat. System Eli .tNk., Type of Roofing i0MP. Ext. Finish 4)41 �)C`.G'fAl°Int. Wall Finish DkYi ALL PAiar
Use of Bldg. %,)&1 C. FAt+' 14..4 DWELI 106 pAJO (i9R' POI 'T No. of Units Bedrooms 3
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 buildi :s; (6) location of sewage sys-
tem and water supply lines.
Size of Lot 55I X ISD %
-NOR-fid- EP'1•"
State License No.
Ind. Ins. Acct. No.
mCRS
Plumbing Permit
(/ Heating Permit
CSewage Permit
-$OtlTN WiSt'
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herebye'r+t/i�fy information�(tdsubmitted is correct and there are no other structures located on this property except
as shown.--/ i asC l ! `1.� lN� /0—c-77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will
Sewage Permit Number Issued Building Permit Receip
Remarks
f / 306 fM/R V /t t ✓ /9 vim, 5641 The zone:
Issued
Form 523 Bldg. Code