1978, 02-27 Permit App: M5059 ResidenceQ•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992011-
-1 a o
92017=
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 mast conform •ith 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� APPLICANT FILL IN BELOW THIS
LINE
y- (j J.Ld � 99°leo
Name of Owner A1J.Mft) C AiGtiUAid ) Address 7' /S/ 7 l.J-Y4 tJ AC2 So Phone T 2ce ier,i7
Architect
Engineer
Contractor vp 4,44) -
Address Phone
Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number PDRT- 03-5-41- DAeli-
c. 9'D -J O
w /8/,ad di n!. //2.S0' :Zed 1 TRAer 3 7
T/Pswrwaco 0RCJfARCS/ .
ROADWAY R/W WIDTH se '
DESCRIPTION OF WORK: New X. / Addition Remodel
Size of Lot 90,3 X / /Q,6 -
i
Stories Dimensions 2�.+C3�r7/� 7- �(c /I T
Rooms S Baths1 Basement .47J J2Q Foundation Const f-4-1+.r'�C i
�t Fu I, part. none
Heat. System ( A't 8 Type of Roofing OYG1i2-. Ext. Finish T-11/
Moving Bld . Zone 1_ Fire Zone
Sewage System .4,,c & onst. S'11 -0-2'"-e----
r., Conc., Br., etc.)
otal Sq Ft 96 6 Valuation ae-,a- 4
Chimney MA- Fireplace Ai A -
(Kind) A (Num er /fin
Int Wall Finish AS, iff X
No of Units—Bedrooms a
Use of Bldg. tef
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.
-I
I"HER.I9'.I AO/.E
3a.s
L)
NORTH
SOUTH
.12.3-61
POT o n/
w
N
N
State License No.
I o. Ins. Acct. No.
2i7�7 9
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cerci i or�gti submitted is correct and there are no other structures located on this property except
as shown...),Si
2 -.27- 72
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE y�j/s / /�
Your street address will be ? /7Q e _qa,,,, Y The zone is l.t.-C.C.//40 2d-eO�C
Sewage Permit N Der IAsued Building Pefmit / cefpt 6 iS Issued
Remarks L1L Sl.6—kms ^ UP.�.I� 1 ��') ?,h
0 9 e? /3/4 ¢ j� 1f?�
THIS 1S NOT A PERMIT.
,4J
Form 523 Bldg. Code
r.
IC
-c 0
c,
too— tri
-c`34
<-vs'
il • ,
kr
.:....._ _II
•:
1 Le2i
1F a,
arr a,„
PROib)ERTY :6ESCRI Pt\ ON
, •
:i:::. “r •
• ----336.96--
90e;N : • pl 4E.
'<
I 1 tj • , -1
190.51 4%.44j- '
I- • . '
Mb,
• 5c_ale_. 1'1.5C
.•
r.„
The Est 90.50 feet or the. West 181
the. North 112.50 -Feet ar the, 50.k.sth
• :eke 7110..c...t 31 oC Trant,....flood C.rc....hards
5e-c_r
or:3r:ZSNLR.44 E.W.M.
1 •
for,.: :Bob.
CReg-12,-- E
Clarence_ E. St rnpson r_neneers
N. 9C)9 rsonne. Rd. •
S‘polcone., V/ash
.00 •ree.t Sf
7..50 :00 Fe.e."1-
In the. 14E; 1/4
•.
• -•,:?;(,
I •