1978, 07-05 Permit App: M7087 Residence• • T•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 0
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. Yater 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 nforce covenants or dedications.
di
Name of Owner / RM ,!wd. Address Phone 3 -173 u"�
Architect Address ) Phone C�
Engineer Address J z----_,,, "/ Phone 5l e.-.- 11'uS
Contractor 7JQQi.LJ �/y
/T' p!%i y Address _`-1)(f) i?_!4/�[D_[r) 49-h' ,}one-
Lege escri ion o Property (Give +C ete�fscri iogtax from d receipt, etc.) Parcel Number 5 3Z — /002
APPLI ANT FILL IN BELOW THIS L
HOADWAY
WORK: New Addition Remodel
Size of Lot /001 X 12.44•54x ef6. 2S X 1Q3 90
StoriesL71i1- Dimensions 2(1X 70+ X i1 X 21' X 61X2-5-1
GoNCRE
Moving Bldg. Zone 2' Fire Zone
Rooms Baths 3 Basement -Eur Foundation Const
(Nil, part. none)
Type of Roofing e-OMPd 5/T10N Ext. Finish
KKSIDDNCE_ - 6/4.P4E ATTAc-IlED - packs RTTihcl}EP
Heat. System
Use of Bldg.
Sewage System .SE.fT1c.-
Total
CConst. FRAM -
(Fr., Conc., Br., etc.)
Sq. Ft / 4/2,6* Valuation 6-.2-1?430.-VK
Chimney 14-Whiaireplace i 1`I uE
(Kind) (Number
L7 Int. Wall Finish pILYia/AL L
O
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
NORTH
iO3.9O P/L
Ino, Ins, Acct. No.
RESIDENT L - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
PIans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures 1oc ted Qn this property except
as shown.
x
J 78
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
lu, kA 011 Y'- DO NOT WRITE BELOW THIS LI
/ 4
Iour street address will be i, fB2 o7 V AL LAY 1%(E%U K0/14)
Sewage Permit Number Issued Building Permit
Remarks
The zone is .5ii4eilLx 1Atu.1 LY RE S
Receipt 3 Issued
Form 523 Bldg. Code