1978, 04-07 Permit App: M5672 Residence, Renewal of M0557 County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ��_z���, 0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
0,0
GENERAL REQUIREMENTS PERMIT FEE 2-
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 mast 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 ,,,..���� L
Name of Owner ��^h n4 h,--,-,d,,/,.;!, Address /=3 41/C 1----. aQ J iele- Phone Z' A 57
Architect Address Phone
Engineer Address Phone
Contractor '1"?', � 6.771,437,. � Address one
•
LegalD�esscription of Property ( ve complete descriptio om deed, x receipt, etc.) Parcel Number , . /('
d---t- 6.7i d.--e-6( s,24--0-74
QQ��DWAY R/W Wf4TN r' � 3
DESCRIPTION OF WO : New t./.
✓ Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot / ✓ - '-`e Sewage System-Sep"► oast. 'y'�
,+� / (Fr., Conc., Br.,
Stories / Dimensions 4 41)( ' S w Total Sq. Ft./ 7 KS Valuati
Rooms Baths Basement cud" Foundation Const. , -:-, Chimney4''� Fireplace :Z.
(Full, part, none (Kind) (Number
Heat. System F ,, Type of Roofing SA# t''> Ext. Finish 7--/"/I Int. Wall Finish .S6te�T`.,xr
Use of Bldg. L`./ No. of Units Bedrooms ��
•
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 dirtpt‘ Li ense No.
Ind. Ins. Ac . No.
g,„,,,„„/ __e -72/ 5.5--7
RESIDENTIAL—COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
nn
ut in Sewage Permit
...I -4
Plans Received
''cl/6( (/fir/ ( Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
41/x/7
SOUTH
I her c tify information ubmitted is correct and there are no other structures located on this property except
as show . /7 ,)/-'z-eZ 7
r
Owner or Ag nt to
A LA D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONS RUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be //I S ~
�I ih �J�',l-��}�''�- �% The zone is G� r /
Sewage Permit Number Issued Building Permit Receipt f/L, ) !Issued
Remarks >'
Form 523 Bldg. Code