1978, 09-14 Permit App: N0620, Renewal of M1629 Residence400
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 ally
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 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 47235.
SET -RACK 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 ,/-7. J. & (78...5� Address
Architect Address _ Phone
Engineer Address Phone
Contractor AirrA r_ety47- Address Phone 495? -9/ z-9
Parcel Number /7 Z 3 _/3a12
/.
Phone #/89-7 / Zy
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
.GDT Go ezde3 li-117-Aeha's OAla.-Y Wad
G/ �'. ,atU * 0
ROAD�fAY R/W WIUIR S U X
DESCRIPTION OF WORK: New Addition Remodel
X/ZO
Stories 1' Dimensions 'ZOO x ya 4,y
Rooms fp Baths 2- Basement FkI-L• Foundation Const.
(Full, pert, none)
Heat. System/44A 0.49C. Type of Roofing OVAP E
_. Size of Lot
Use of Bldg. gE-(32.!4-( z1ry/{1
,A72,n4 4P.['Jt)
J 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-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Moving Bldg. Zone —/ Fire Zone
Sewage System Si<<,o12l. onst.
F6
8 1Fr., Conc., Br., etc.)
To4a// °St Q6 Valuation
ca ire Chimney .444711- Fireplace
(Kind) (Number
Int Wall Finish �(efiab -j.l.
No of Units_Bedrooms i7
xt. Finish
ej i2U
za
`7'7- /6 a9
75
lig
tf No/ / o
SOUTH -
I hereby certify int cation submitted is correct and there are no
as shave. y,,,'
a
N
y
State License No.
M�dc- oW-z36n,8
Ind, Ins. Acct. No,
3 64-115/-00-5-
RESIDENTIAL
4-/6/-oo—S
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
"Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
-7—/4/-
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
, THIS IS NOT A PERMIT.
14/
DO NOT WRITE BELOW THIS LINE
Your street address will be S 02.
Sewage Permit Number Issued
Remarks
uilding Permit
The zone
Receipt
vb X- a
Issued
Form 523 Bldg`. Code