1978, 09-26 Permit App: N0808 MH11.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 -
APPLICATION FOR LAND USE OR STRUCTURE PERMIT";
GENERAL REQUIREMENTS PERMIT FEE 5D
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 on mater connections disturbs 1
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 47235.
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
. Name of Owner
-414-444/445 Address �! * ,' DC7 -4.L Phone //�3 66 53
Architect Address Phone
Engineer /� - Address -I- 'L ' I� Phone
Contractor Mill %•[mil •�{:. Address .5' �O I�.dry�.y.I.[ti/ Phone
Legal Des
tion of Property (Give omp/Q�JJete 7d7escriptioryJ�from deed, ,taxx receipt, etc.) Parcel NuBber _ ��
4 in !JC"' -7l i-' �/1�/[,S.St-b �s ,2.E,+1 T�'{" /lace
j�,rh-I I40 t 755/ - t'/ 5-
7-4, VD 7,»'D
DESCRIPTION OF WORK: New
Sirgof is)
Addition Remodel ving Bldg. Zone / Fire Zone
age SystemSLt %7 P(' � L
0
Stories men
Rooms Baths -
W r• `% SW /Y''i� .v tsf Const. 4'rn"SjQD
K
Fr., Conc.. Br., etc.) Fg(j
•/�/ Total Sq Ft Zjj (,t� Valuation /.5-6/4
���!!!��✓" ,Chimney nd) FireplaC (Nu beer
Heat. System
Use of Bldg.
Basement Foundation Const
F II, part, none
117)
Type of oofing Ext. Finish
( PLOT PLAN
Int all Finish /C.flefi
No of Units _Bedrooms
Draw sketct�wfh 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.
NORTH
I he
as shown:
SOUTH
ertify Information submitted s correct and
,1•r1.C.4 t✓z .
Owner or Agent
rw
N
N
there are no other
Stat ce se o.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Date
A LAN SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES,
THIS IS NOT A PERMIT
)4 si MNP_..-- DO/NOT WRITE BELOW T IS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Perm
The zone 1p9��b.\706-4a7-/f
� 706-4 -�T46 c'
Receipt ! Isaued
Form 523 Bldg. Code