1978, 06-27 Permit App: M6956 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND• USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE 7
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of soy
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. 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 47235.
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 ay2DA
Name of Owner /i e/Ana- ✓A"� AddressrN/
, 77e) CntaanChr riq^/G phone 924- le 7P'
Architect Address Phone
Engineer Address Phone
Contractor <A,Mp Address CA,s1C Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Numb r 2-9-.679/- /.5T":
B4ac r / . Lar /,r cAes-2Q n4,rPenG / 42.3--�p�t
o-a-itva 0/(/) (.ii no '
DESCRIPTION OF WORK: New .1 -:•""---Addition Remodel
175--)4 /(;)40 X / /_ ST y(I n0 v rgn
Size of Lot
Moving Bldg. Zone / Fire Zone 3
Sewage System 5*.arlG grie,Const. CRi441G
(Fr., Conc.. Br., etc.)
Stories ,�imansions 9QYy% d`"_7_H✓Zf.- -f- /0 >fJZ� Total Sq Ft .2044 Valuation ���"�'
Rooms Baths 1 1/2- Basement CULL Foundation Const r'nNCO/PTV ChimneyMMe'UTA` Fireplace 2-
(Full• part, none , ^ (Kind) (Number
Heat. System,/pc, CIA Type of Roofing C -nM P. Ext Finish/AP S.67.16.4 Int Wall Finish 11,,Pvi,rxtii
Use of Bldg.4c,DG.ire t= - !.'nsPal,'F ,- 11 /-GSr gel ere No of Units L Bedrooms 1
PLOT PLAN
Draw sketch with dimensions showing: (I) 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
•
w
State License No. n
0^/Ind. Ins. cct. No.?
RESIDENTIAL} COMMERCIAL
REQUIRED
Plumbing Permit L.) fl
Heating Permit 44144
Sewage Permit
-•
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.----)• /Cc y
Owner orlAgent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A tegAIIT.
0 N Mfier"*9/ /
Tour street address will be r 3 JS • ]Cl e4,�,p(,
Sewage Permit Number _ Issued Building Permit/
; a Receipt_.443172 /:sued
Remarks
g 01 7-2:9
DO• NOT WRITE BELOW THIS LINE
The zone is
t
Form 523 Bldg. Code