1978, 07-31 Permit App: M7465 MH-AMin"" "
1111 1111
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 Till) I
Name of Owner WA-) 1 J C r & 0 k° Address LC? 3 �3 ..84o‘he—-- Sr Yt 7 Phone
Architect ! Address Phone
Engineer 0 i �� cb? . l�� Address C b 1.3 S • . - ► 3 Phone
Contrac
eto
Legal Description of
Property (Give comp) . to desc
3�-�-1415 Lf
ress
tion from de d, tax receipt, etc) Parcel Number
Phone
s _ing
tAp �f
RUAUWAY R!W nth 6o i/ Addition /1<O
DESCRIPTION OF, WORK: New
Size of Lot I • .1 ' 1 I Wee t,S' . _ •
1
Stories ' Dimensions Lk It LA
Rooms _ler*Baths , 1 Basement Foundation
Fu, 1 part, none
Heat. System dliypeo Roofing
f Bldg. !� W e I*OVtt-Q- of
R mod:I ti -0 MooviniNgy Ala Bldg. Zone / Fire
CbN"ASevirmge System ponst. _
Fr., Conc.
Total Sq. Ft 1l a YValuation
Con -t Ziaac.S G'4 .1Cia.S Chimney NIo
R.
Fireplace fu`
(Kind) �7 (N mbar
Ext. Finish AICdyl •3,a' 1 C Int. Wall Finish clvLe- 1
fiA ° No. of Units 1 ---Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I hereby c
as shown.
SOUTH
f nformation submit. t ,.i rrect
Owner` or Agent
A LAND USE OR STRUCTURE PERMIT MUST I't ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
nt
State License No.
0-41011,/
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures locate
'14/A• 0)
Tour street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE
LOW THIS LINE
Date
CONSTRUC?'ION COMMENCES.
on this property except
1''-18
1/8
Buildin:/ ermit
ezone is
Receipt.? Issued
We di Jle
cam..— S99 CI.L. (..4