1978, 02-16 Permit App: M4918 Residence '
APPROVED As NOTED
Spokane County ,Bldg. Code. ` county of Spokane, Washington
Date /..4J-- ODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
1 by' 5 t 4. TION FOR LAND USE OR STRUCTURE PERMIT /
. 1 GENERAL R$' IREMENTS PERMIT FEE 5�
1' PERMIT REQUIRED. A la.. a 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 he obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required io all cases by County,Resolutions.Nos. 45-133 and 47.235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a sei-Rack 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 BELOWTHIS
/ // `
THISLINE ?Rio 7
Name of Owner e /N d_ / -y Address/% 4 ,,2 A / Q,1Q L4614-`J Phone r0 3 (`Z`
Architect Address Phone
Engineer - Address Phone '
Contractor .4.--(_2 ---"- Address 6 € "'C___—_ — �� 0
lig Phone
Legal Description of)Propoerrty (Give completedescription from deed, tax rgceiat. etc.) Parcel Number "7'`,7 /Y.Z 90 67(
DESCRIPTION OFWK' ew ,+j gdditjon P Remodel Moving Bldg. Zon�ae- Fire Zone
Size of Lot !.7t1 x �o) Sewage System Cy/ /C oust. /5;4,2 277 `C,�
r / i [� U r Fr., Conc., Br.. et ) 0,4,22-.---
Stories
0
Stories_Dimensions 4&'R2 "1— flux°iQ >t-J 2 + .2^ i'/7 '-total Sq. Ft,L23cl Valuation 777"
Rooms Baths 2- Basement�crt/ Fou 'aCon Const. CU^i G{4 e"re— Chimne ireplace
T(Full. Pert, none) zit i / (41"- t? y (Kind) PR
(Number
•
Heat. System/Ida v ype of •oofing t Ext. Finish �( 5nt. all Finish !i /
Use of Bldg /. Lia I...:. :a—...a.... .011 = -- � �� No. of Units Bedrooms
3
I
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.
Sto a License,No.NORTH 9k- of7J' .,e
1 v Ind. Ins. Acct. No.
yi
RESIDENTI —COMMERCIAL
aaref.„--'64/6
REQUIRED
d Plumbing Permit-
1 , in Heating Permit
m D
yt ta Sewage Permit
-I -I
•
Plans Received
Plans Checked
Plans Returned
Plans Picked Up . '
Plans Mailed
SOUTH
I hereby certify information submitte s correct and there are no other structures located on this pr petty except
as shay /rlZ y S •! ./•moi /�
Yl Owner or Ag ���dddt Date
<<' A LAND SE OR STRUCTURE PERMIT ' ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERM . `
ON M,{\r DO NOT WRITE THIS LINE
li
Tour street address will be t-- • /1 a O " /V. C /Q as-a. OR c The zone is Cr� v•
Sewage Permit Number Issued Building Permit Receipt 0/W Issued
Remarks r
': Form 523 Bldg. Code
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