1978, 04-19 Permit App: M5861 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7 G"-
PPFMIT REQUIRID. A land use or structure permit is required by County Resolution to erect a building or structure of ant
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Rater supply must be approved by the County and State Health Departments. there 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 Nm. 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 OP 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
GENERAL REQUIREMENTS PERMIT FEE
Name of Owner •TPA° K y ()Walls Address Atr R 2S' /r%/�iee/.(�61OA% Phone U%g -Q%lI �-
Architect ✓ Address 97.20/a Phone v
Engineer ✓ Address 1. --:-Phone
Contractor - ✓ Address ✓ Phone Le--
Legal
✓Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lor- /O de GC*" /5N /i/9.e.Pyv6 tac s f%AD/ T/O.A/
7-6 Mi 7•"• ill SO.Us _
/��3—v71s �{
DESCRIPTION OF WORK: New Addition /
Remodel Moving Bldg. Zone I Fire Zone d
Size of Lot of U. 3 X v- 2 . SEP it �n wf
I. 94 Sewage System CC��st Fes`-+7�![b
-t2/ X a t rE53 h A /27) , �)$ (Fr., (`onc Br., etc.l
Stories Dimensions 111 Total Sq Ft O Valuatiorf I coo'
Rooms A. Baths C Basement (9 Foundation Const €2 es/P%/=-AX Y'- Chimney Fireplace
(Full. part, none) (Kind) (Numbb�
Heat. System F1 .'4 s
6.95 Type of Roofing OC/ , t5/116"457-Sxt Finish Li2C7ODJ Int Wall Finish..CC r
Use of Bldg. P/N/N&, 'Al- t ,..._-iii_ Peen) No of Units _Bedrooms
- O PLOT PLAN `ire e t t- CL --
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
/AV,3
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
SewageePeennit
Plans Refel
ed
�28 taw—
Plans Checked
Plana Returned
Plans Picked Up, ,j
Plana Mailed reQS'- 7 Y
'L{/ /k /7�
,/twa..2
by cert nformatlon submi ted is correct and there are no other structures located on this property except
AVCiY1kNt NoQtat epee 143V FROM Mouse 47709
Date T
LAND U OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Owner or Agent --
DO
DO NOT WRITE BELOW THIS LINE
5r
Tour street address w111 be
Sewage Permit Number
Remarks
Issued
ng Perini
i
The zone
Receipt
Issued
I MPORTANI
Form 523 Bldg. Code
1' (
30
T iIS copy roust be presented
to the Cnvu nnmental Health
Orn^Ion before Budding
Ye" ill' Car: be ' s ej,