1978, 04-10 Permit App: M5728 Residence'p
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 �d1 i2„ Gz 99g./it-
Name of Owner
Architect
Engineer D
Contractor RO1.O t4' 1/
• _s./ 1 ./
Address
Address Phone
Address Phone
Address Phone
'6 -
nit Phone 9.2a LRF
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PORT-D4/i4&2
/L D T / RX -K /-744 ... r0_r-o.4t t
ROADWAY R/W WIDTH SD '
DESCRIPTION OF WORK: New is Addition Remodel Moving
Size of Lot /70 X /gO /a PP
Stories #4. Dimensions 2»AIn
Rooms _ Baths a Basement -/'
(Full, partnone
Heat. System
Use of Bldg.
Sewage System
/2376 / bi nAS,E/taAir Total Sq
/' FoundationO0 Const (14 1-fs4end
Type of Doting JiL1.QAP0 Ext Finish (! J..t&4
zlit'2 ,��
9 T
r 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.
Bldg.__ Firenst. Zone -3
j '• ' Fr., Conc., Br., etc.) O O
Ft 3).? o-,, Valuation r(Q/Odd
Chimney ire ace2 h't"Y+�
(l Fn n 1� ntil ICA/V
itsr
Int Wall Finish /�7 l{
No of Units Bedrooms
NORTH
4. L ,a. Jac6
SOUTH e�
I hereby cert informs sub i ted a torr t
as showngc
ESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PER MUST BE ON THE PREMISES BEFORE
THIS IS/ pNOT A PERMIT
(5 C. 1412 _ DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
l
Tour street address will be C 1/31 7 •.g.2-4-1(421:1• £ 1C4_,,44 , The zone is .te J>vGQ.P..14.44<-A\•PC_
Sewage Permit Number Issued Building Permit t .5''IM Receipt 1/69
Remarks
Issued
Form 523 Bldg. Code
L6-1- %LI Block I_
Ga --e mCi' Ffa,r sy .4.4, 17 36
F;4 L