1977, 04-26 Permit App: M0774 Residence\ 5I
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 o
'APPLICATION FOR LAND USE OR STRUCTURE PERMIT ISO
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 enforeeable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of OwnerAi F-1 . ,r l,'.! -r AG-F-fraeb fi Address
Architect
Engineer
Contractor
Legal Description of Prope
ri-1 c- ? v /
7 '
e _.49_L/G
Phone
9 l-&669
Address Phone
Address ,.,j // Phone
Address /-750/ ? TX.1- '1./P2� Phone 9--)P'-600�%
y (Give complete scription from deed, tax receipt, etc.) Parcel Number OPT-- if, 7.50 5/-J6,5,
14i��a)��9ti 14s, rf TRAGI_ 4l LY�-/.L47--A
e-0/aCer.,ee4&t. •x/i'/-; _G 1-Let-
DESCRIPTIONOF WORK: New X
Size of Lot //) A X. /did
Addition
r
, s/X/rn/Ai
Storh.cSlff Dimensions 02S1v47, --.h. 8(a. /'�
Remodel Moving
Sewage Syst
feet.5t PIM// /
7" % X /b DEr Total
ion Const
Roans __ Baths c.,2 Basement<I. it Foundat
(Full, part, none
Heat. System Type of goofing•'L
Use
of Bldg. O4 t,hM-(.t J✓..�.t�(---��fC--/.�
Alt c 22Jt- PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or
proposed buildings; (4) distance to property lines and streets; (5) dimen
tem and water supply lines.
Bldg. Zone / Fire TTzZone 3
em 2 P,?.t.[.0 ,Const.s •14"6"/""--
„// (Fr., Conc., Br., etc.) �tQ
Sq Ft I9 S3)7Valuation '•-1 60
-''e
ChimneytFi/enlace :2'rtt2ZE't`/_
(Kind) f\� (Number
Int Wall Finish L� Y 'JX/n-YX
No of Units _Bedrooms 3
• Ext. Finish
/oo' /DAL
NORTH
road locations; (3) location of existing and
ons of buildings; (6) location of sewage sys-
.2.13-6 /—
State License No.
a67AZ
Ind. Ins. Acct. No.
/0-q-7"7
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
M/55/6A/ AVE SOUTH
I hereby certify information submitted is correctand there are no other structures located on this property except
as shown.
c _9
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(moi 741472.0 DO"74-64.4-4-0-74-,
NOT
” WRITE BELOW THIS LINE
v[✓c
Tour street address will be P / �c / q , 44 -4-P-z -'f
a Permit Number Issued\ Build Permit M-01/9 The zone is i�tIssued i+`Lt i
Sewage _ ) Receipt Issued
1 ref tTaf� 'ClJ tl at (�,li_.}aF
Remarks JINA.. '��"r?1--ice `g
L� U
Form 523 Bldg. Code