1978, 07-20 Permit App: M7340 Residence APPROVED As NOTED
Spokane County Bldg. Code Dept.
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County of Spokane, Washingt 1 Wte� - -
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WA I . :Qe�'.. 41 41,-.. .....—,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ii 1
1 0.0-
GENERAL REQUIREMENTS PERMIT FEET -37
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 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 oiret1 9'FvQ 6
Name of Owner Ne Address ( e 7/5 ' eG-1 ?� Phone ? ' a 3$_I
Architect Address Phone
Engineer QAddress go Phone
_'J -
Contractor - - 8--Lm4Au-[,� Address -E Phone
Legal Descn ion of Property (Give complete description f om deed, tax receipt, a c.) Pa c umber 193'512 - ORD 2f
��
�f I�AY R/W WIDTH s K yh.t At e - K4.vE SO` aJ C. in ;,ta,c:AAJ2g
�Q
GiM IPTION OF WORK: New +� Addition Remodel Moving BI . Zone i Fire Sone
Size of Lot /• O x /413. 3 ' i Sewage Systgm Const, .cccNv..e.-
o , .2'Cl0 , , , -f-gx3.24' .S' x32' (Fr., Conc Br., etc.) er
Stories 1 Dimensions • O )r' 6,(_. . ..<-7 ,x..4 7 t' 9 X 6.2 O cA t yal kO Total Sq. Ft.� �3'- Valuation �j'G0
Rooms . R Baths91 Basement Foundation Const. Chimney '`f4O Fireplace o
Full, part, none C' a---:'gap
(Kind) (Number
Heat. System'E eci , CC.Type of Roofing x�t. Finish
-"" . C..Q/ tti Int. Wall Finish wtFr".e
Use of Bldg. / 1, sax, . -412- 7c.--ey No. of Units_Bedr ms
Divi-eF%✓ PLOT PLAN 4 a
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 CC ) S O State License No.
F/if.Zo'Skyfrnc. Dr; Ve. 69��,,-
Ind. Ins. Acct. No.
b
N RESIDENTIAL COMMERCIAL
Al
M REQUIRED
,
VS - Plumbing Permit
1 ; m Heating Permit
N •-' �- 70
Sewage Permit
I0', \ N,...,-__
Plans Received
. G Plans Checked
bra'e, Plans Returned
Y Plans Picked Up
�PP�oX• Plans Mailed
SOUTH
I .30 ' 1574?----
I hereby cert fy information , .bmitted ! correct and there are no other structures located on this property except
as shown, 7/d 0/7 g,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE� BELOW THIS LINE
Your street address will be C , 7F0 Fr j 4-tZ, /1,6i0-v The zone is
Sewage Permit Number Issued Building Permit -7 �Receipt YRS' Issued
Remarks
J 0, A'.1 _,(1-,
' - . , - 7/c:?/17:
c„Z ZYVl f2.2- . (/
Form 523 Bldg. Code