1978, 06-01 Permit App: M6554 Residence APPROVED AS NOTED
Spokane County Bldg. Code Dept. County of Spokane, Washington
Date . _' BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
by<\ APPLICATION FOR LAND USE OR STRUCTURE PERMIT LC--
GENERAL REQUIREMENTS PERMIT FEE...-..;)L71
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an./
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.
7 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.
c APPLICANT FILL IN BELOW THIS LINE ?,e,
Name of Owner )al Co./St_ St.1. S, /9SSae _ZpC, Address F-9.21/ Jfl a.SS a0 S t• te. G Phone 9. .1-,7Q.S
Architect Address Phone
Engineer Address Phone
Contractor , - .M) . C.o.,--/- S<t' . i95541!-
l I2G. Address,F 9 1i, ri iSS`di) S4 ÷c a Phone €9A2--1 7
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number ?75 i 3-4c5o1
L. 1, ,g. 13, I-J: Il.r )=. .etys
t
ROADWAY R/W WIDTH ICSfi'
DESCRIPTION OF WORK: New _>_ Addition Remodel Moving Bldg. Zone Fire Zone
e
Size of Lot /33 7. lv4. 2.^r.q a w
CI� � Sewage System Pkbi IC onst. F.r"•
-75Z-4,3Io Total Sq. Ft. (Fr., ConB6, etc.) ,
Stories Dimensions /� 9�jq Valuation 4S QOv Or
Rooms q Baths Basement 4'/l Foundation Const. Con c-t'€'* . Chimney Sh•w I Fireplace /
(Full, part, none) "' C--
► n / (Kind) (Number
Heat. System BB i Type of Roofing lib k.-13 ' Ext. Finish C)OXYk)and Int. Wall Finish Pry ItJa/j
Use of Bldg. ,S ; (Q. .%•-t'. 1 o4JQ //, No. of Units /Bedrooms ;/
} Z`� £f",yam-c-�' V tr• (C-�� v -s��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.
NORTH State License No.
__.:,)
C - bc)n ?y? 1,63
Ind. Ins. Acct. No.
RESIDENTIAL—COMMERCIAL
c-& e— ‘? .)) ed
Plumbing Perm
itREQUIRED
in Heating Permit
en ut N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
6///7 r
SOUTH Adtisva
I hereby certify ormation submitted is correct and there are no other structures located this property except
as shown. L� "t(iLh) /.[�%c CO.0}c-j J
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7 ( -,,,,, ,, DO NOT WRITE BELOW THIS LINE
Your street address will be � 3
� ---/_... 4
" The zone is '�G�. 4
Sewage Permit Number Issued Building Permit v, Receipt ` lIssued .
Remarks AM
/( -557
Form 523 Bldg. Code
-
RequesLed Price ,Q2) d
I
PLOT PLAN Lot Cost 2.0002-F
, _ ..
It ---,7----------7
0 ,
/
1 S
4. I
F
i '4.0
,.
ril
/ . e,„,c(v- it;:i r
SpI ;4
as , ��`� `34 �,` pig /.7 i ' -Si�
ct ,9 4 - -
27)
7- F + 4-, 5 1
a /
. ,
iV'wd/t b0P a-o ' _, 15
f o' I()'xAFTh
+
ri
.. ' 10.5 f
.de r k ons /
�a b N
/ .
,trz-^ aFran jib
(e ccn+crtIt v______
01.C.,u) 'a ELEVATIONS :
Scale : Tr= ?c) Crown of Street *0
Finish Floor * 4 5
Basic : G Sq . Ft. Legal — -
q6 5 9 /p Loi 1 -EI o c.g ) 3 11 I v 1 e &4-a.i-e 5
FHA Case # Job # Address
Mortgage Co . Parcel #
\cshQres 75 4 3 - / 50 I Q
!ower Co . Water Co.
lo(A: Lt) PwwP
luber Excavator
MaMd. 1.q0-1 ( 150 - 31 d a,..,,,,_ NWCS FORM #L 7
5 ' � !� S�w�r Perw.� f