1977, 05-09 Permit App: M1248 Residence, Renewal of M0107County of k Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT.
GENERAL REQUIREMENTS PERMIT FEE II `
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure'ot 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 47.35.
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 1s 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 BELOWLTHIS LINE ' G
Name of Owner �J• lo c W !, �y
5,�� U H Address -i l- -OR .f Cjt t.crc' Phone�yrfr -/y 7)" d
n �i T✓"t/
Architect Address ��O (3 Phone
Engineer Address Phone
Contractor �trf--9, Address //TT]��
Leal Description 01 Pro'p�a/rty (Give comp ete description from deed, to ceipt, etc.) Parcel Number (0+r"' Q S' 6 "y'y (7.y9y
Tsfrk- r - �✓-✓�Fcit- , Cr.,-_l�Ylln,l�,L�V/Lo ��� -
DESCRIPTION OF WORK: New L ------.Addition Remodel Moving Bldg. Zone —1.-- Fire Zoner
Size of Lot Ss`� / JL I a N Sewage System S' .r Const / ., °.) -a-
t _ Fa, Conc��.,�rBr., etc.)
Stories % Dimensions r)-� rL.. �' TotalotSq Ft /3 9'y ValuationW4 3 G. n' 47
Rooms • A Baths / Basement / li / / Foundation Const f'o n Cr.• -t!✓ n� Chimney Fireplace T� C"���' C'^"' -^
������(---Fu�/l�I�� part, none) md) (Number
Heat. System 1 - Type of Roofing in' hI /11 Int Wall Finish -..-ALU
Use of Bldg. 'k�1 p _ : rr+ p. 4.) / / �t-ct.>(O .� .�- No of Units -,.Bedrooms :5
PLOT PLAN
Via4 , - 6,./4......,.,,,,,i/
Draw sketch with dimensions showing: (1) property lines; (2) street or road 1 cations; (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,
m
m
to
H
NORTH
SOUTH
State License No.
3-a/- PS` C'o-!
Ind, Ins, Acct, No,
RESIDENTIAL - COMMERCIAL
REQUIRED
v
'7Y
Plumbing Permit
w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb ertify 1 f motion submitted is correct and there are no other structures 1pcatgd on this property except
as shown.
it, )') /[Q
ill
Owner or Agent Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S HOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be �8 -V/ 0 j/JL�. The zone iecp4'-
to '/(d
JyT Receipt 920' Issued
(ay, T—N(,roC/"LY
Sewage Permit Number Issued Building Permit
Remarks
/4- our -7— Alt/a/
r -
Form 523 Bldg. Code