1977, 06-15 Permit App: M1905 Residence• 410
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 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 cots or dedications.
6 09
APPLICANT FILL IN BELOW THIS LINE
Name of Owner', I r WK/ 4t ne,a,4:7 Addressr. , / 0idge.ot_ oe(.0N_ a.
qya/q
Phone a 5 - 6 a P7
Architect Address Phone
Engineer
Address
Contractor Address
Phone
Pho
ipt, etc.) Parcel Number ‘7.47-) .�i0141 3 - %/.f;
_ /41- 79_ AL R96W/'of/
G-poDV/.F. W AbD
p-141_14) AVE'. ' If .4 &O- SP. p , 2-4/. aEre--
Moving
r -Moving - Bldg. Zone ,/i Fire Zone 3
Sewage System.soit TU -f const. rte-
v r., Conc., r./,t.)a 0
Total Sq. Ft. I J.-41Lr _ Valuatio
Legal Description of Propertf(Give complete description from deed, tax rece
PART e(- .SEJhu- - / ra- .4T Ski, [? OR.
A//: Si, LA/ Si(.0 E- /797 To rN= A/• A t
-Th .04.19. 7- A/, /,"r7Y' rD P7' e_A/,
°"=,.'T. --MY. 4 -1V -
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot C.6-1 X / el `/Oi
Stories Dimensions ,9-7' X 32/ - (AmerRooms Bath Basement i Foundation Const
Fu I, part, none)
Heat. System Type of Roofing Ext Finish
Use of Bldg. 011 �gd ri �,
PLOT PLAN
Chimney end)
Fireplace -
(Number
Int Wall Finish
No of Units Bedrooms_ /
Draw sketch with dimensions showing: (1) property lines; (2) street or
proposed buildings; (4) distance to property lines and streets; (5) dimens
tem and water supply lines.
MA/A/ AVS
V)
PROP6.5
pose ozVCC
4 PA
NORTH
SOUTH
I hereby certify informati000 submitted 1s correct and
as shown. k /V
Owner or Agent
road locations; (3) location of existing and
ons of buildings; (6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Iw Heating Permit
NSewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
6
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be F /y2 / a'-‘1-7z/7z/ .4‘27,.... -e.4‘27,.... -e a-- The zone is
vl C/
�
Sewage Permit Number Issued Building Permit ;'{l� / 'Receipt '7 '- L.moo /Issued
Remarks`
Form 523 Bldg. Code