1977, 08-23 Permit App: M2966 Barn•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, .N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -' 3 8 -
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 114 BELOW THIS LINE
Name of Owner ( •:AI'Ao+r
Architect
Cad -
Engineer L
Contractor `�.r"G tel% %x-57 (M •
Legal Description of Property (Give complete desgiption
5,
:739, ' '.n/. /6.. -cd. =2 .4 741,
FRIM A P/94Ir /Ar A2. 2 Ai 4 s
n fn/4lr /4/ 5..t AL
Address `CA2- 51 E / { ;%1-,/ Phone VaZ -4 .
Address Phone
Address Phone
Address 9,220 r F fV '�Y r �7 Phone 7Ptt-t96 , C)
from deed, toJ; receipt, etc.) Parcel Number R yC-o 3 9 -1'0 G '3
Peer. .5w y.. kyr,- t, vy .,Liv. nRaw/
Alt) S a i5-7R.J1' ,c. Alla (•-op, r/-/SRsor
1/13. /5-79.-'c.o/ .5w• Col?. Ere_
,SA
DESCRIPTION OF WORK: New t� Fiddition
Size of Lot p
Stories Dimensions _at"( C%O
r .'7 etc
Remodel Moving
Rooms _ BathsBasement Foundation Const
Fu 1, part, none
Heat. System Type of Roofing �� // Ext. Finish
Use of Bldg. T �i-bt "''"`� .S h r d
Bldg. Zone/
Fire Zone 3
Sewage System_ 11/494n7 _ Const. Fr.--
r., Conc., Br., etc.)
Total Sq Ft Y� 'OC Valuation . 0
` n�� > Chimney Fireplace
(Kind) (Number
Int Wall Finish
No of Units Bedrooms
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.
.4
NORTH
SOUTH
n6 /
}
Plumbing Permit
17.)Heating Permit
4:441)O
V Sewage Permit
SSn. Plans Received
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify of tion submitted is correct and there are no other structures Located on this property except
as shown. .a`-,? 3-- 77
' Owner or Agent
t Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address w111 be r 3%Z-7 O -6 —7 -Q—/
Sewage Permit Number Issued Building Permit
Remarks
The zone is
Receipt%hi//
Issued
Form 523 Bldg. Code