1978, 09-14 Permit App: M1536 Residence, Renewal of M1636•
County of Spokane, Washington ..
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE S7'�
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
Name of Owner _ ) tJ l e r.S t Addres - 1 t - C_ Phone4,. / z.2
Architect Address Phone
Engineer �} '1 � Address / Phone p
Contractor (A ,J 5-r Address /k-/ , N7437 It�'$C MN Ph, e 4/49-9/ ZS
Legal Description of Property3iv complete description from deed, tax receipt, etc.) Parcel Number
1-.,--r /9 C lG 6-0tot t e s I/a-.,t..e y. !Ji Pte?) F Pt -s9" n1'; J-,
ROADWAY R/W WIDTH S v
DESCRIPTION OF WORK: New ' Addition
Size of Lot
$PLAT 26 X 38 yid Total S Ft. 9 /� O
Stories _Dimensions % q. /�?� Valuation �3 - d
Rooms ...t_ Baths 1 Basement rvt '_ Foundation Const. enNcir Chimney Mr -Al- Fireplace
(Full, part, none) (Kind) (Number 7
Heat. System?S)Ql. Rterjrype of ;oofing 0 OMMI p Ext Finish T ^1 1 Int Wall Finish O e ' L
Use of Bldg. II •-.
Remodel Moving 1' Bldg. Zone Fire Zone 3
Sewage System Cc 'c- Const. %2
ia, JJ p (Fr., Conc.. Br., etc.)
Ch -CL ad -At -Lae
/
PLOT PLAN
No of Units—Bedrooms
Draw sketch with dimensions showing: (1) property lines; ,(2) street or road locations; (3) location of existin
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage
tem and water supply lines./ rr
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SOUTH
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State License No.
Mu-&-Qir-x(236-v8
Ind. Ins. Acct. No.
36 9 /6/—OO-4
v
- COMMERCIAL
REQUIRED
Plumbing Permit
tw Heating Permit
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I'ht
k_
DH
F/e.
I hereby certify inf rmation submitted is correct and there are no other structures located on this property except
as shown.d'Uir frt-- r- 9f -Ar-
Ar 75
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
aN MP"
DO NOT WRITE BELOW THIS LINE
Tour street address will be � /90/ 7
seQage Permit Number Issued / Building Permit
Remarks f F.P1-,/firF= c. PEAR nn {T t\i cta)M/‘, 3
The zone is �--C -7,-t. v I
Receipt 1211 Issued
Form 523 Bldg. Code