1978, 02-22 Permit App: M5199 Residence, Renewal of M4919Canty of Spokane, Washtgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERM.%%�
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 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 47.235.
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 orState.
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 DOt-, 71-,•sk 2 Address t634.141Ci t. U -Artslr.-`.�. 1�tti3! Phone 92-4 SD+1
Architect Address Phone
Engineer Address rte ' I' ic+n' Phone
Contractor ILS - L1 Address Yw *. �L% U tQ`te: i% Phone q P541
Legal Dessccription off PProperty (Give complete description from deed,ittax receipt etc) P7Ai, O 94/9A --• Fro G6 Co 7
1 --OI Wis CZ iK V MN- LK * 1'�atn-tSU .
DESCRIPTION OF WORK: New / Addition Remodel Moving
Size of Lot Z-1 C 11 LAsl 164\
(('s 10 lnllr�e.., Sewage System
Stories / 1 Total Sq
Rooms 4 Foundation Const C�WrG
Dimensions .30 30X70
Baths 2i Basement /
Full, part, none)
l -r1 I tsi,akLes P r'
Heat. System r Imo• e�tee-.! Type of Roofing �Eei rf t- � Ext FinishPi i1 �1A1�.-r1
Use of Bldg. Z 2S tar,,. rp
Bldg. Zonet,,�Fire Zone ,,,i.u-
-1'eiOttC, onst.
`` (Fr.. Conc., Br., etc.)
Ft Ici?'-‘) Valuation 74 nog o'er
Chimney Vtet4-1 Fireplace 'L -
(Kind) (Number
Int Wall Finish 1C`rt,l.a.A"1
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.
NORTH RESIDENTIAL - COMMERCIAL
SOUTH
I herby cgffify information submitted
as shown
State License No.
\C -JJ kb - z4 v -Ln
Ind. Ins. Acct. No.
7-1.1 -21 e
REQUIRED
Plumbing Permit
nr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3/, 3/7t toJ'
is correct and there are no other structures located on this property except
'Lt 1,SiP
Owner or Agent Date
. A LAN'd USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-.14. 44 DO NOTWRITE BELOW THIS LINE
Sou/r street address will be L5" (1C/Ai -7'•Cij'V4K-�F t9 DRI ( The zone is C.
Sewage Permit Number Issued Building Permit Receipt
Remarks .f,PtiiT' issuer UM this i,&t K&1b(? McJ '/'t IW
Issued
Fri:4 L r
Form 523 Bldg. Code
1111.111111#1111M•
NO.
REVISIONS
DATE
BY
1- big 7
ikttiL V*4'
DRAW BY SCALE
DATE
TRACED
APP'D
MATERIAL
DRAWING NO. e
TELEDYNE POST
I SAE -01 E-8iX11