1978, 02-21 Permit App: M4937 Addition County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE SZ, Cc)
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 THIS LINE
Name of Owner 017"-ktkS 51-levee Address 'tic 02.,5 ll t4(oses lT't Phone 3 Z4"- 71 in
Architect Address Phone
Engineer Address Phone
Contractor 4 ST1 A 1 �1 65 L (Te ) Address ,mit 2-12* bk V tS I O I''t Phone 63 S -4(L4
Legal Description of Property (Give complete description from dee tax receipt, etc.) Pa cel Number CIS - 1304
w 6, ��. �4 L 0� ` a 4 S� co.�,Q.,. 13 a1,(
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone 3
EX1STlN6 PfZA-44g
Size of Lot ) l X ceC7 Sewage System Const.
/'J A(oQQ! a'.� aa'3' Vl, ConBr., etc.)
Stories Dimensions a� Total Sq. Ft. 73� Valuation /S/7SOCib
Rooms Baths , Basement NOME'Foundation Const. CCl"-/C • (Cs" Chimney Fireplace
(Ful, part, none) (Kind) (Number
Heat. System EKL Type of Roofing CC)Wt Q Ext. Finish ALUtM.Si IN , nt. Wall Finish G160' 32)
Use of Bldg. � � - / i ,. �/ ./ ._�.� i..-./. No. of Units
+e=�:-Y� � � Bedrooms I
1 i/Cb /'TAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road .cations; (3) location of existr4 and
proposed buildings; (4) distance to property lines acd streets; (5) dimensions ' buildings; (6) location of sewage sys-
tem and water supply lines. ISD
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.10211ML 1, EZT— State Lic seNo.
6193 -C1/ -34 VI-SA- 042Yr
Ind. Ins. Acct. No.
9K ///a-lei
RESIDENTIAL-COMMERCIAL
+2'3" REQUIRED
NOS IM Plumbin Permit
Eli )42'0"
g
4 �O Heating Permit
14� Sewage Permit
ZZI
Z�( � Plans Received
`~ 5'S` :... . 24c Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
U-ft UPS 01-%-t 11,
ISO -- I+EAST'
I
her by certify infor :tion s'.mit , is correct and there are no other structures located on th' property except
as shown.
__ .--
Owner or Agent _ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOTWRITE BELOW THIS LINE
L�j
Your street address will be /Q oZ.c-L,�/iuirN2il� "1` 'The zone is / t _� .
Sewage Permit Number Issued Build Permit Receip(ra0 Issued
Remarks
I
Form 523 Bldg. Code