1978, 06-15 Permit App: M6858, Residence, Renewal of M1566• •.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
5 0
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 enfo eable through civil action. County Officials can not bring action to enforce covenants Air dedications.
Name of Owner .41 . 4 �, • Address A it 5
Architect
APPLICANT FILL IN BELOW THIS LINE
Engineer
Contractor
Legal Description ,-(of P�party (Give com
(?c; �- ,C, / —
— O (.J loo 1 -ran^'
DESCRIPTION OF WORK: New Addition Remodel Moving Bld Zone c.)
Fire Zo 7
Sewage Syste Const.
pp / Val t c., Br., et(1 It
Stories �F,Dimensions l�:.�rrsw 'Of '� ` ��/�!�io C� /—Total Sq Ft ,�n 3Valuation Y)Vc: n o � •/JLC`
Rooms Baths Basement .c, O� Foundation Const C ,,y G/c' t,,, Chimney - Fireplace c2
n F/u I, part, n•-,:1 (Kind) (Number
Heat. SystemQXA-r ..f -x Type of Roofing i Ext Finish /- 77/ Int Wall Finish lea yc-/9
Use ooj Idg. D
Address
Address
Address
06.4 / 3
ll Phone
AO�.t. lj, � '3J3hone
d
Phone 77 2 — 5—S—P
Phone -
e description fro deed, tax receipt, etc.) Parcel Number �..
«,4-- 3 g�t� �G K �-,L d / aC a
))/1 /3 66
PLO PLAN
No of Units ._Bedroo
Dr dw 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
/`
SOUTH
1
0
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby fertij'y informatign sptlmitted is correct and there are no other structures located on this property except
gs shown.
Owner or Agent Date
A LAND OR STRUCTURE PE IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS T A PERMIT.
&M, 21.R rap DO NOT WRITE BELOW THIS LINE
Tour street address will be 43O t4 415_070---.4.)
�15_A,xQA A -*r:.1 ,4 4 - The zone fs.
RemarksSewage �114v-r...,4 it Number Issued � �. yr- /ljNLjdiag •
Permit tl Receipt
/( Issued
S-c
Form 523 Bldg. Code
I',Jh'Jrlr/1
l
�D
t
(` I
SS
k._________cfri
5v(
V
SOUTH
1
0
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby fertij'y informatign sptlmitted is correct and there are no other structures located on this property except
gs shown.
Owner or Agent Date
A LAND OR STRUCTURE PE IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS T A PERMIT.
&M, 21.R rap DO NOT WRITE BELOW THIS LINE
Tour street address will be 43O t4 415_070---.4.)
�15_A,xQA A -*r:.1 ,4 4 - The zone fs.
RemarksSewage �114v-r...,4 it Number Issued � �. yr- /ljNLjdiag •
Permit tl Receipt
/( Issued
S-c
Form 523 Bldg. Code