1978, 06-08 Permit App: M6657 MH• 4
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7 g
GENERAL REQUIREMENTS PERMIT. FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of all
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 oneater 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 Ni*. 45-133 and47.235.
f;r
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. y
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.
APPLICANT FILL IN BELOW THIS LINE
D p (%ce laAat 97027
Name of Owner f.s w JO `c Address C - /9.2 2 /fiat^-ui�a- Phone 72.3 - 0/99
Architect Address
Phone
Engineer Address Phone
Contractor d[i4.4tF_e„32.1.4.1tfX-. Address -... Phone
Legal Degcripti n of Pjrt (Give complete description Nom dee , tareceipte0.) Par el Numker dif „it
114 -4” r /21 yr /...4-14/4—
.
/io4D R/c✓ 60'
DESCRIPTION OF WORK: New AZ Addition - Remodel
Size of Lot 7/7/ x // 7 J
Stories .J__Dimensionns nl i/ J X 60 / •i / 2 / X o24/
Rooms Baths d2 Basement (la Foundation Const i
(Full. part. none)
Heat. System &` Type of/Roofing11JYYtn� a Exgt Finish
Use of Bldg. n ie4AmC 426.. et j? .(4a' EMAX
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.
Moving
Sewage System
Bld . Z,fl, ons _ _ Fire Zone _�
�J';l.'s'f; `-� onstja��'t�O—YfAIZA.Qr
(Fr., Conc. Br., etc.) rip
Ft /700 Valuation
'r! _ tlhgney /Ja Fireplace —/J
,,QtolJ+ (Kind) t. bent
Ir4 Wall Finish �a/riR.��M'�
No of Units —Bedrooms 3
JO .Qat T I Sq
NM./ f r'�y.",alantliAtiAirek
NORTH
7
30r
J 266
Mari ci=4-c1/4.
SOUTH
I hereby certify information submitte
as shown. k
,�rS�tate License No.
(a/. r+ t#A_—
Ind. Ins. Acct. No.
(RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
0/77? ilotatize,
correct and there are no other structures located on this property except
Owner or Age• Date
A LAN SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6-u
711{410_,
Tour
11{ -
Tour street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
En i7,2 27 y/%a/u a_
Issued Building Permit
The zone is 41 7 c
Receipt 4/1-)/ % Issued
Form 523 Bldg. Code