1977, 04-05 Permit App: M0466 ResidenceAPPROVED AS NOTED
Spokane •un to Bldg. Code
Date
of , Spokane. Wasllgfon
by �t
, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FO y1 LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
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 tg enffoo cue, covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE -4—A—� ' y4"2' ("94? -"l
Name of Owner_ ..D -Y vt' Address 10 d) 7•Z
e
7 57
Architect Address Phone
Engineer Address Phone
Address Phone
complete description from deed, tax receipt, etc)
PERMIT FEE
Contractor Xfazva k9
Legal Description of Property (Give
A.. 07` /' 1.3 ,-IC 3 i-,1<
X Addition
Remodel
Moving BId . Z1 0�— Firg one
Const -.-7---44-44a2
(Fr., Conc., Br., etc.) ,ice
DESCRIPTION OF WORK: New
Size of Lot ft-) 6 X /� Sewage System
Stories!�.� Dimensions �..� x � f �.� Sq
Rooms Baths � Basement�.li-i�� Foundatio
Fu 1. part, none)
^`- + '� f X / `` 46/4 �.EM.510-Total . Ft .1 / Valuation ali`'
n Const ¢ Z'- ChimneyZ44.1-t "et4ireplace'2 4'
(Kind) bl (N mbej',� ,7
Finish ---1-'1,-f `��L��`
Heat. System _ ,4 Type of Roofing, _ F,�ct. Finish�/. •Lr. .kji.i rz/� Int. Wall
Use of Bldg. .Q�//, 3f,�f,CQ.. 4-!1-/ .-t_ a . G .,,i, F4 . ,�,� ! No. of nits _ Bedrooms3
3 /� ` .rk.i.z. ' t[-, G' L' vGi..t2it
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
.. RESIDENTIAL- COMMERCIAL
SOUTH
T
d 7 i
State License No.
Ind. Ins. Acct. No.
Alot 0,01e Aptl/wC (9
Or ON
R
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herebyjeytify information submitted is correct and there are no other structures located on
Owner or Agen
as shown.
4- 7 7
this property except
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 sib,/d p ,.L L%y �C-te-J—` (1
Sewage Permit Number Issued Building Permit
Remarks
The zone is�C!L'.1 &.,-&24CP..2.�es
Receipt �['ued
Form 523 Bldg. Code