1978, 03-10 Permit App: M5463 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /hi go
GENERAL REQUIREMENTS PERMIT FEE LEPt
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
4and egress.
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COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and vork 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.
• ((__,,..((�� ��� J j )APPLICANT FILL IN BELOW THIS LINE , r . ; g91o(P
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Name of Owner/V-LL�f y x 2A.? -Pt!' Address A - Z _I iA- -G PhoneQQ Address Phone
9
En ineer Address
•.,ontrector ./1svL1Q, Address
Phone
Phone
Parcel Number)Yt2a - //D'Z
Legal Description of Property (Give complete description from deed, tax receipt. etc.)
/ o r EL f{ Ce % d_w_Fd < Gd el .
ROADWAY VW WIDTH iso'
DESCRIPTION F WORK: New -Y Addition
Size of Lot /D O X /."33.S'
Remodel Moving Bldg. Zone -I— Fire e sei
Sewage System .
CConst.-
(Fr., Conic. Br., etc.)
l(o/ /
StoriesSDimensions
Rooms 6 Baths a- Basement
(Full, part, no
Heat. System �,tl%%,rt Type of Roofing S`.�ta.RA
X /O A/ /.2 ,/)E(' 1'� Total Sq Ft , •SR y Valuatio4JO o
Foundation Const rl7YFr4&C Chimney Kind) Fireplace .a
(Number
Use of Bldg. �to.c.�%,.trle.. �yfX.t-Cu,.Cf
/ o PLOT PLAN
Ext Finish
7-Iff
li /LY_�I
Int Wall Finish JJL??Lyy � �B
No of Units LBedrobins
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.
N
H
NORTH
ca ' p-ecrfrp-ect-„,a-
SOUTH
I hereby -Certify information m1
as shown.
1 uv or Date
A LAND USE O RUCTURE PE IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
(9,lt,,Rik* DO NOT WRITE BELOW THIS LINE
Tour street address will be /9,40 45-
, >,t , ".', K&
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3,444/7, au
d is correct and there are no other structures located on this property except
3.1 /0/78
The zone
Sewage Permit Number Issued Building Permi�i� rj SLG Receipt
Remarks ff 77
is �. Pin r
Is ued /,
Form 523 Bldg. Code-
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40
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100