1978, 07-19 Permit App: M7288 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE 84 -
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 THI
LI
Name of Owner 4 E M co C n s'T ULCTU 0 Ni Address
Architect Address
Engineer Address / Phone
Phone
Contractor E7�MGD CA 1.1 STRI1GTOj.( Address F3/� • ifol y
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
I -0-r /6,'six ck 3 6F su WO/ UA pDrr-toN
845"
Phone -2`/'-_2
Phone
�
Parcel Number OF O/$4I --goo
Warta
I)]f� YYR }}��jj �j1'pjjj
�Mi�PTta OF WORK^:New �/t di�ion
Size pf Lot /t'w ilk
Stories _Dimensions
Rooms Baths
Fu I, part, n
Heat. System HqType of Roofing
Use of Bldg. 't/�% /X -1_1)L t :
Remodel
Moving Bldg. Zon / Fire e
�
Sewage System_,i oust.
(Fr., Conc.epptc��l�Prn
/8')62‘,./_,V 1 4_ /6/X /8 /J //x2a'; Total SQ. Ft /8,44,
Baseme, Foundation Const C e�
}V/ Ll jni sn
Valuation
himn Fireplace
(Kind) (Numbe�r�J/f
Int. Wall Finish c'ry/�G�
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.
m
N
NORTH
SOUTH
ex
)10
N
State License No.
22.3 -ter £ —MG—t
Ind. Ins. Acct. No.
�� 45 --,5-
R SIDE
5-
RESIDE TIAL - COMMERCIAL
QUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7/.0 //if74-e4€
e•, certify inforgion su ted s correct and there are no other structures located on this property except
a own
1r or Agent
A LAND US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
I he
ig
DO NOT WRITE BELOW THIS LINE
Your street address will be 47 / 5 .g--
Sewage Permit Number Issued Bui :ing Permit
6emarks
7— I78
Date
CONSTRUCTION COMMENCES.
„„
677
S� % Aldo. Code
e zone i
ceipt
4 Is ued
I L�
11'
0
Z6'
12.'
t o9 4 sT.
Z
18'
30'
LOT 110)
(3t_ocK 3
St^Nwy VALE AD D tTtot
19
/ n( (
3b4n1IJYVALE DRIVE
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