1977, 05-27 Permit App: M1613 Residence•
Coun of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 most 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 Tv
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
Name of Owner UJ+=u t-1- CD C »4
v
Architect
Engineer
Contractor
\i
Address (i) 1'-4 Int PIN:lt: Ci9 2.0 (e, Phone al 2 -i -) 4,Q z?
Address tt Phone
`}
Address Phone
Address Phone
11
kt
Legal Description of Property (Give cop tete description from deed, tax receipt, etc.) Parcel Number
Lr4- ) t�1.�c11L2- Ci,,15-RiZ 8I055D /NA__ POD,r,o,J
F F}R , N voAA-6 i?_ - Pc:`, f2 i•
DESCRIPTION OF WORK: New Addition Remodel
Size o of / / ei 5X I'
Stories 2 Dimensions ts7r��r9-
0r= 5--L44-1 —
Moving Bldg. Zone 1 Fire Zone _3
Sewage System S.R.V6t #e' - �For.0, Cst. onc.,
I%-.., etc.)
Total Sq. Ft g Valuation y D O
Chimney tuulpQ Fireplace fl --"--Q
(Kind) a (Number
Int. Wall Finish [L\f, ,.n. OA
No. of Units Bedrooms 3
H BD a f,4,,t....d ,,., Bsr.
Rooms— Baths Z Basement Foundation Const C.Uv-NC O
Fu 1, part, none
Heat. System 2. A Type of Roofing COYv. Ext. Finish
Use of Bldg. ' Q ta-a-mkk*cxD
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines a,d streets; (5) dimensions of buildings; (6) location of sewage sys-
5i�
41 ri ILD
State License No.
CA�G�c>L-FG
,4.55-01+
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit-C,(5� o i
m Heating Permit S ► ti i� S
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property excep¢
as shown. lc_.) O
Owner or Agent
5-27-77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will be
Sewage Permit Ner Issued Bu lding Permit
Remarks —V v -I SC3A". e5 2
LPc �AP�tn/
DO NOT WRITE BELOW THIS LINE
AZ V ^7
S. Si Cfj., '(
PJB
affer
cp_ IA4 s4
/6 /'
The zone is 2ln't� 7Tczni,
Keceipt 776=.3 Issue X77
Form 523 Bldg. Code
9s
L
ADP,I#'s
/1'
2049.
-f
'�8'
5 4PPROHCH
[eY,1
1040 SQ. P1.
3
t;;;),
C�
Ch
•
28'
1
�`" IttaiR rJ �+
�.
10'-._4
q' —