1978, 07-20 Permit App: M7319 Residencei
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND ,USE OR STRUCTURE 'PERMIT / ��
GENERAL REQUIREMENTS PERMIT FEE 6
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 mast 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 onwater 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 9,7.454
Name of Owner
Architect
Engineer
Contractor
P -
Address /ii. /.- �- tO®r /i phone 90;76- 7.-2.9-;
Address Phone
Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
H 3 aC/ / '777zee.,-7 1.12
��� aLen5AL./
ROADWAY R/W WIDTH
-''
DESCRIPTION OF WORK: New /`y Addition Remodel
Size of Lot 7‘,.. l R (X / 4/579'
Stories i Dimensions r24 X-S4O (.
Rooms 7 Baths `'Full part snots$)
Heat. System / �z9 Type of Roofing
Use of Bldg. 4-
aoxaa
Foundation Const
PLOT
Moving Bldg. Zone / Fire Zone . 5
const. --C -rOfte--
'',J�/- (Fr., Co Br., etc.)
/�,,, Total Sq Ft / t4,9 Valuation e��, "2/207 00
4_1 �°-LS�(✓ Chimney nd Fireplace ..-1./—
(Kind)
(Kind) (Number
Ext Finish %12...t dsY/ Int Wall Finish C E/lea-else -
!lL _- .1- No of Units _BedrooMs . "3
Sewage System .5 %-
PLAN
Draw sketch with dimensions showing: (I) 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 wa_ supply lines. -
NORTH
I hereby certify informat
as shown.
SOUTH
State Licpnee No.
/%14'
Ind. Ins. ct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
in Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7/a0g ,4-'ae0
n submitted is correct and there are no other structures located on this property except
'%YLtilv., -Aar
Owner or Agent to
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS
THIS IS NOT A PERMIT.
dim
DO NOT WRITE BELOW THIS LINE
Tour street :dress w111 be — ti
Sewage Permit Number Issued
Remarks
RUCTION COMMENCES.
The zone
Building Permit %f-7.gi /o Receipt
Form 523 Bldg. Code
LA 1 ; io 7- 3 z6,. X 1 A ->Q‘
/5 7 ,Pr77-1AA/ 'n 6 ""z "fN A c iCES
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