1977, 08-15 Permit App: M2850 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 D
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6 e/
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 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 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.
Name of Owner
APPLICANT FILL IN BELOW THIS LINE
p helz l °i l l r nl a s Address F- %9oa PPhone s2 V.- °
Address Phone
Address p. 95 / Phone - l/
Address e • 0 9 IUO Ito Phone 9- 7 - 3.5 t.
�
Architect
Engineer
Contractor GCMG Berl/du/43a
Legal Description of Property (Give complete description from deed, tax receipt etc )
L n-1- 1 eruct LJ' t5". Ff- of Lot -2 $forV,
Mlss!o&j I-lf`1(rrs S-ub 3i'visro•�
K S t-(9— 033_2
DESCRIPTION OF WORK: New ; Addition x Moving Bldg. Zone /
. Size of Lot
Remodel
85 Y / 1749 Sewage System'Cep pc
4- _Q X e��'-,/a Total Sq Ft ,5'- 7
Foundation Const \L Mcv c -+c_ Chimney Fireplace
IN.asc Al (Kind) (Num er
Ext Finish S, a a ,n Int Wall Finish A ]rt{ I,J? (1
Stories Dimensions 8-0 K. VV -0 Q
Rooms _ Baths % Basement OaK
�N13"c Exist Fi;(Fuit, part, none
Heat. System Type of Roofing
Use of Bldg..- ,
Fire Zone
Const. FR •
(Fr., Cone„ 13r., etc.).
Valuation r)/ 00 0
a�.t:iS-»i �- -.
No of Units _ Bedrooms 3
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.
NOR-Tii
44'
Hda•
Exts-+' 7
I'esr'deucc,
No i'aa
I here ertify info
as shown
Owner or
.tousfW ,Vo. -!-
on subm'tted is orrect
��,ttf
Agent
cg
Plans Received
Plans Checked
'�- Plans Returned
Plans Picked Up
Plans Mailed
State License No.
RE <1r LG -R317 DLL
Ind. Ins. Acct. No.
QatZ-thel'CL-19
RE
Plumbing Permit
Heating Permit
Sewage Permit
and there are no other structures located on this property except
g—/ r 7,
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /- l 7.02- Wei _. Vv
Sewage Permit Number Issued Building Permit
Remarks
The zone 1s 6 `q
Receiptf2?Y/ Issued
Form 523 Bldg. Code