1977, 04-15 Permit App: M0718 Residence0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3
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.
Name of Owner Cl(,LL(4MA/4(1 I .Gtti1 Address /4�2'
4..2/ P i/Q. Phone yzhi-6 /lfl
Architect 1, Address Phone
Engineer Address Phone
Contractor t�1' f -4t' P Address Ph e
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number/,/ /ki-E P6iRT0.3at'/-i.QO3
APPLICANT FILL IN BELOW THIS LINE ,tj
/2A- 4(.t v 9 -/�
/v4,, , Cccc�c4,1 41 -
DESCRIPTION OF WORK: New K Addition Remodel
Size of Lot HOX/JO'
Stories / Dimensions .26 )CS/ + to X:199 1- 7X/6
Rooms sC Baths Basement Foundation Const
Fu I. part. none
Heat. System /fA. Type of Rpoo,ffing (9 J-tVC,�, _j� Ext. Finish ____ /
Use of Bldg. P,¢�C.Liv?�C�Q.� /.L/'r�,!-it4J Y- /✓ Q.!'!C. ai(
Moving
Sewage System
petit Total Sq
L'a--rtivwa✓1 P
BI g. Zone / Fire Zone
CConst.
(Fr., Conc., Br., etc.) 7 p
Ft / 7 di Valuation i/.•) LCn
Chimney/.'t4•' Fireplace h'
(Kind)t� *TVA le le
Int Wall Finish ...,&1-11/`��1A4
No of Units _Bedrooms
.4e0 -4.4.41 -41124t -e- 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.
HE ROY
AVE
PROPosaD
Ras/Pk-NOW
I
?WORTH
SOUTH
State License No.
()A( ON J /hE
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
reby certify inf oration submitted is correct and there are no other structures located on this property except
4/ - <L
ner or Agent
AND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
HIS IS NOTA PERMIT.
Ma_0 DO NOT WRITE BELOW THIS LINE
-Q a� c1 � /�j ,( /� Q n
Your street address will be C /3=C•0,y • / i' (`�„p,,.t The zone isp ac/Ai:[/�X.�-✓ °=�•-,C-4�
Sewage Permit Number Issued ! uildilig Permit n �( Receipt O %'37 Issued
Remarks Jp lJ D Y
51-/f_ 7 7
Date
CONSTRUCTION COMMENCES.
Form 523 Bldg. Code