1978, 07-11 Permit App: M7139 Pool• I�
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE. PERMIT #4.7.00
GENERAL REQUIREMENTS PERMIT FEE �7.
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 ■ith 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 eater 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 111Ala a ECAwE Ft -Y01/441
Address E. 10021 MOQ{A Phone 9Z¢-8554
Architect Address Phone
. Engineer Address M Phone
Contractor PRECIS Goa LEI'eocikalr Address PO 8.0((40.9¢ 5Po , 99ul phone 535 - 9876,
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number o 83''%H'03,0 -
1 a/ d24. / /%/.15/o/2 //WAS
r
DESCRIPTION OF WORK: New X Addition Remodel — -Moving — Bldg. Zone Fire Zone 3
Size of Lot 85 k 153 ask R
o•^%= -_Dimensions �" 3
Rooms = Baths '— Basement —
(Fu1. part, none)
NONE Type of Roofing —
FP( VA 56 -WING
Heat. System
Use of Bldg.
Sewage System fConst.%F
(Fr., Conc., Br., etc.)
Total Sq Ft _ Valuation 9000
Foundation Const 6 UN ITE Chimney — Fireplace —
(Kind) (Number
Ext FinishCCI'egerr ` nt Wall Finish —
No of Units _Bedrooms
Poo(..
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.
nt
N
N
NORTH
e 04°14E4)
A`�" pr
Not- 0(0ft+per.
I hereby certify in
as shown.
SOUTH
i4±tod is correct and
m
N
N
State License No.
d K 0 M F/.c.S
Ind. Ins. Acct. No.
RESIDENTIAL) COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7////9dra
there are no other structures located)onthis property except
Own&r or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Tour street address will be (4n/) O ��r / �, The zone is i%C�(A�.GIA�f-C-�cJak
Sewage Permit Number Issued Building Permit V / Receipt f14-5. Issued
Remarks 1V
)11
Form 523 Bldg. Code