1978, 04-14 Permit App: M5878 Residence1 Name of Owne
`1 Architect
ty of Spokane, Washington
PARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
TION FOR LAND USE OR STRUCTURE PERMITi
NERAL REQUIREMENTS PERMIT FEEI/41
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.
R
I 'J
APPLICANT FILL IN BELOW THIS LINE
ddress /611n1� fcnIii
?2-20C /
Phone 9.-26
Address Phone
,Engineer Address Phone
Address Phone
Legal Description of Property (Give cotp(fe� cription from deetl,.4ax receipt et arcel Number �} 9,S"y1 _/7a�
Contractor rc,..r v/i110J
l/J
lfnliIDNl9FTIHWONK:
New ✓ Addition
Size of Lot
9y' 09 K /as
nnnmo///d,,,el''' ......��� Moving - BI Zone _� Fire Z e .... Sewage Syste First
v /• /JO IFr. Br., etc.) o
Stories Dimensions c///
�� X5/odd XY Total Sq Ft /63� Veluatio `%`/C701)ti—
Rooms Bathes 9 Basemen . ae Foundation Const C e5A�P. Chimne /
(Full, part, no Y' Fireplace
Heat. System pp.. (Kind (Number
y Pad n//type Roofing i t Ext. Finish 1-4"1/ Int Wall Finish pPVAn li
Use of Bldg. ?1°CJ Pe7yr'l= ittPk4f fl Air— No of Units _Bedrooms •--2,
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
ESIDENTIA COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
-t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cformation bma.ed is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT, -
01 J M Yt\''fa ) DO NOT WRITE BELOW THIS L NE ,f 4,2
Tour street address will be _AV Q, G'jQ- jr/r}9(,MI e zone f —
Sewage Permit Number Issued Building Permit Receipt/Issued
Remarks
Form 523 Bldg. Code
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794) e�(94.)/
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