1978, 01-23 Permit App: M4650 ResidenceCanty of Spokane, Wasl!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Alta --
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 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 ygp„17
• Phone y'Z y -13r? -
Arch itect Address Phone
Name of Owner
Address
Engineer A dice
Address Phone
Contractor dicj r` tle/g in!{y— Address ArN3 Phone
Legal Descriptionof rope (G2ve complete Q ription fr desd, tax receipt etc l
•'ter t Z
72 v-fl?o
DESCRIPTION OF WORK: �yNew f Addition Remodel Moving Bldg. e �— Fire Zo e
Size of Lot /t�� '1 �. 3� yy'' y / �r Sewage System ® co scoot.. Br.
Stories Dimensions• 2% 74/ //OKO4#/l'1'+w 5.Z Total Sq Ft Valuation •0
Rooms le Baths part, /+— Foundation Cons(la.
.�� Chimney ( ind) Fire. lace(
Heat. Bldg. Type
of R fQo ing Ext. T��� AC./ Int Wall Finish
Use of Bldg. %'1LR. .r>'vC Q�(./I a. No of Units Bedrooms t7
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.
/z
774 Avg
NORTH
RESIDENTIAy COMMERCIAL
I hereby c
as shown.
State License No.
;3-o/ tnt8 Iy-Q5S'5Q
Ind. Ins. Acct. No.
D ff 0A/
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
y i'n ormation subtted is correct and there are no other structures located on thls property except
_2
or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOTA PERMIT.
(9,4,, -4(0f� DO NOT WRITE BELOW ,THIS LINE
Tour street address w111 be j-20,6—XJ . k O.f,r.L -itP ..4_ X \( V e
Sewage Permit Number Issued
Remarks
Building Permit
Date
CONSTRUCTION COMMENCES.
- The zone 1s,dA/1?.2C.gti i2ncC.tgt,
Receipt/Zig J Issued
Form 523 Bldg. Code -
9