1978, 03-01 Permit App: M5017 Residence, Renewal of M0414 Co.inty of Spokane, Washiagfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITg
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 e
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 Sta e
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 iAobert A. .LOYli; Address ''• 1I -+ i lril Phone 9t6irIT9cmF
Architect Address L ?5 JL Fe_sT- Phone Q22---1/46
Engineer Address Phone
ar.e
Contractor Address /� _ Phone
Legal Description of Property (Give complete description fro deed, tax receipt, etc.) �C y.t �3— 0 S a.4
Lot 4, .61k. 5 otchf ord
7 , "1 ,f74.1 670
DESCRIPTION OF WORK: New —' Addition Remodel Moving Bldg. Zone 1 Fire one j
Size of Lot 121 1 31312, lbO 11;. 300 Sewage System S ep tallIbonst. I lone
26 X �Z /p 7 Fr., Conc., Br., e c.)
Stories Dimensions Total Sq. Ft./d 2 Valuatio '`-,
Rooms / concrete I7SOYlr�p Z
5o Baths 2 Basement Foundation Const. Chimney a lace
(Ful I, part, none (Kind) Numbe
Heat. System t' it pec T shake `i'1-11 Lap sheet rock
y p= of Roofing ,��� Ext. Finish Int. Wall Finish
Use of Bldg. ir,_, 40.1",/./- . 1/,,(,/i,/�T,T! 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 imensions of buildings; (6) location of sewage sys-
I em and water supply lines. --�.,,,'
NORTH ESIDENTIA - COMMERCIAL State License No.
i LU-1,U-%R-A2461 0
Ind.
Acct. No.
J
),:iri
SLL ATA'ACH i) t'.:,v ' 2.[.,A : REQUIRED
Plumbing Permit )
n �/ j m Heating Permit
cn / t a
N y" /1 /Of H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTi
I here' tify "nfor "on subm", ed is correct and there are no other structures located on this property excep
as shown /
—/ — (.1//
Owner
Owner or Age, Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THISL �,S NOT A PERMIT.
i't DO NOT WRITE BELOW THIS LINE
j.--- S
>ortr street address will be 11 Q7 :iOtCrlf O >d 1)1'. The zone is C"
Sewage Permit Number Issued Building Permit Receipt t2 2c Issued
Remarks ,
Form 523 Bldg. Code
4 447—
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