1978, 06-26 Permit App: M6964 Residencer �
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 covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of owner VAN VARY$ ENTERPRISES Address S 5221 Mohawk 1)r Phone 9 z 6 1816
Architect Address Phone
Engineer Address Phone
Contractor SAME Address 7. L
Legal Descripti�of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 15577 J O C
LT�-
Block 2 Blaines Subdivision, Spokane County
Vol 10 pg 74
DESCRIy R'W yin
PTION UF" I( New x Addition Remodel Moving Bldg. Zone �— Fire Zone
.�Xj se tic frame
Size of Lot / Sewage System p {Fconst.
, Conc., Br., etc.)
Total Sq. Ft liiX Valuation 43,500
Stories LDimensions 24 x 16 4- .21/'/ .2 /
Rooms Baths 1 Basement fill 1 Foundation Const concrete Chimney�Yrtd► Fireplac
EBB (Full, part, none)
comp cladwood dr alp
Heat. System T of Roofin Ext. • ish Int. Wall Finish
sittgle fain .ply residence? Z 2dg. 9/t9 J No. of Units _Bedrooms
er
PLOT PLAN
raw 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.
m
to
NORTH
SEE ATTACHED PLOT PLAN
I hereby certi;y
as shown.
SOUT
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BE • W THIS LINE
Your street address will be 7/.-.5-- i / ,e!/ The zone
Sewage Permit Number Issued Building Permit! Receipt
Remarks
Owner or Agent
itted correct
State License No.
Ra on file
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other struct
located on this property cent
r
Date
Form 523 Bldg. Code
K` c• r r_/
-20
0'
750 GAL TAIYk
35-,
Mc LEL
'rp
� EGA L : LOT Z 13
13LAI/VtS Su'DI✓I5/4:
VOL 10 7G 74/
1" 20
VAIN PA; R YS"
I\(N Y 3u - /ft 7e
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