1978, 02-09 Permit App: M4866 Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ?
p GENERAL REQUIREMENTS PERMIT FEE .4S3r
PWAYIS REQUIRED. A land use or structure permit is requited by County Resolution to erect a building or structure of 911y ,.
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. (rater supply must be approved by the County and State Health Departments. Where work onwater 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.
SEI -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 rust be approved by the County Engineer.
MOVING OP 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.
AP LICANT FILL IN BELOW THIS LINE] 1/f
Addrese.4L/7422 ayb Phone
Nance of Owner
Architect
Address
Engineer Address
Address
Contractor
Phone
Phone
Phone
Legal Description of Property (Give complete description Ixom deed, tax recisipt. etc,) Prel Nu be
ROADWAY VA) ea' Q f19 -LAY., av tatuLat -lL O iiliy 2.- 90 66 Y 9067
DESCRIPTION OF WORK: New Addition Remodel Moving Bld . Zone Fire e L
Size of
i Sewage System T�'� Dost
! ., t r ,210 / Val cJ./Br. etc.)
Stories // Dimensi �s Eil X -2P/ f" /0 ` X�! e / Total Sq Ft Value tont tcS/�0.�
Rooms ((l Baths Basement dation Const e -ern' #tt) Chimne (Kind) p ace
(�ttII, pert. n �f_
Heat. System a� ype o oofing 0,4--r-112.) Ext Finish Int Wall Finish -
/�) rn, 4L ./2. t.4 ito-t. 1� rt No of UnitsLBedr
Use of Bldtk,o -yit
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.
(Number
NORTH
SOUTH
State Li nee No.
43�y/ &S- 3 -
Ind. Ins. Acct. No.
RESIDENTIAL— OMMERCIAL
Plumbing Permit
w Heating Permit
Sewage Permit
of
Plans R.ecelved
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify infor)tation submitted is corre t and there are no other structures located on this prope ty except
VA et 9/2r
e 1
diner or Agent / Date
"an]
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
®.rti ✓K a f¢, t�Q
DO NOT WRITE BELOW THIS LINE
4
Thar street address w111 be j///9 �,r.,,� M.� ��C.tr,�+- e zone 18 s>0IAA lie .�n�radea-a.1
Shage Permit Number Issued Building Permit Receipt C/C_i Issued
Rewks
Form 323 Bldg. Code
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