1978, 03-14 Permit App: M5246 Demo Residence• •
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 oovater 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 thestructure 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 OP 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 dt2.49- ".n,vr! Q g20l.
�}
Name of Owner /� 1 .Y.lY Cy ,CJ 4/-}-- Address e / / 6-d g �.d�Q.Lo-.Cl Phone
Architect Address Phone
Engineer Address Phone
Contractor kL (9. �„.42.d . lc' Address fl. //2-.O -2.142 gq.ae& Phone 9210-A/a'`f
Legal Description of Property (Give complete description from deed, tax receipt, etc.( Parcel Number /G SI/ - c22 417)
/V /id it w. 2 1 aMc' e3 a'0, .c 2oo' 4- ex C._ Sr OPPo,FTUA/,TY
ROADWAY R/ W1D714 �� .44.4. " -~
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone —/ Fire Zone
Size of Lot Sewage System .r4Q p.U-f/ Const gaF+f.wt.( -
(Fr., Conc.. Br.. etb)
Stories -_Dimensions .26 �/ X 2X
Total Sq Ft 7.2 & Valuation sd
Rooms _ BathsBasement Foundation Const Chimney Fireplace
(Full. part, none (Kind) (Number
Int Wall Finish
No of Units _Bedrooms
Heat. System Type of Roofin Ext Finish
Use of Bldg. 31/�vr'r i -/L.4 T/ e iQ etagil
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.
State License No.
OK ON F/< -e
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby gertify inform on submitted is correct and there are no other structures located on this property except
as shown.
02- r
Owner or Agent
3 -/x-72
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
41
Tour street address will be e r //._ioq _L4tL41C' The zone isC1/14446.4.a/7./4"--"412/..61%
Sewage Permit Number Issued Building Permit M5 aye Receipt 0667 Issued
Remarks
Form 523 Bldg. Code