1978, 03-01 Permit App: M5016 Residence, Renewal of M0623 Ct nfy of Spokane, Washr,dgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT u c'
GENERAL REQUIREMENTS PERMIT FEE Y u
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.
y 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
I 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 17,2.04
Name of Owner 1-''°bort X. L,onL, Address ` 11019 ..iunt±O1?7l Phone ('`,1--41- )4762
Architect Address q,5-(?- F.25 r Phone 922-11d .
Engineer Address Phone
Contractor ..ialile Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.) tOI/s�9(J --:—#007-V
Lot 114_, L1k. 1-totchford acre
fie.-1..4,„&—•-7 A/Ct tP O
DESCRIPTION Q i OORK: e I , Addition I Remodel Moving Bldg. Zoe 1 Fire Zpne 3
Size of Lot i�` " 9 3±2 ' � /G 2 Sewage System s e p t ani,, ry�onst. 1 2�{T,10
9 7 .(Fr., Conc., Br., etc.)
Stories I Dimensions t� )' 72_ Total Sq. Ft. Valuation
Rooms to Baths_gChimney Basement rut L Foundation Const. C one i t t c: :as en
F J�
(Full, part, none � (Kind) �eplace N�S�
(Number
Heat. System ',' Type f Roofing Ext. Finish ILL-�_�_ i, p Int. Wall Finish sheet rock
Use of Bldg. 1.44J I 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 RESIDENTIA —COMMERCIALiSa@ L,i, ense
i(�-t .tt -; t-Ato,10- J
f
t' '471,7. Acct. No.
327- -
~;n, A1'TACHasi) 2 J.JJ'12 21,Ai. REQUIRED
/� /� / Plumbing Permit
l 0 V 2 -3 n+ Heating Permit
/A/ is a
v, 'S e, Sewage Permit
♦ f —1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
i Plans Mailed
SOUTH
I her•. iffy formatioiggsubmitted ' correct and there are no other structures located on this property excepts
as she.n. , � i / _ 2 k
Owner or Agent Date
A LAND USE OR STRUCTURE PE IT MUS BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I �T A PERMIT.
; ' e DO NOT WRITE BELOW THIS LINE
Y$ur street address will be a• 1012 --otchf Ord Dr. The zone is /` J v 9'
Sewage Permit Number Issued Building Permit
Receipt 40Y-2-� Issued
Remarks , .
Form 523 Bldg. Code
J
—— ------
4 �`` \ _ C.�j� i 1 :
� 7.0
i t
T�
,
I
'
{
I
I
•
s 3 • 8
i\lq00 ' .
' _^_ ___r._..__..
,
j
w
��f
CrFI;; t) !
T _
'1 :
•
a
I .
i , A
t
.•..... ......-.n�W+..._..fit
` z
r_Y