1978, 03-22 Permit App: M5403 Addition County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 994
APPLICATION FOR LAND USE OR STRUCTURE PERMI
0
GENERAL REQUIREMENTS PERMIT FE _._./f
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.
1� APPLICANT FILL IN BELOW THIS LINE
Name of Owner /"1 AZI a We QOQ/U Address E /SW, VI//ey/I4yJ VEQ
Architect / / ��� Phone Cj' oZ�'"���y
Phone /U/g Engineer A,)/4 Phone 10/19
Contractor /4 Address /(///'}' Phone j:Legal Description of Property/ (Give complete description from deed, tax receipt, etc ) a
Lit %z 7j ,7‹, Vee 4 7214)-1- aecorepe-p ,I.J V_ e/ 0 o p IA 5' /7A1&
_ • • . A/ •. A9 - A .. / •!cod . ,
/:s3 —/ Qie, , - %�J ,✓e
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DESCRIPTION OF WORK:New Addition X Remodel Moving Bldg.Zone_/ �,/Fire Zone
Size of Lot 7.5 / x 9 qQ Sewage System e5<Ptl c TA)1l Stories I
Const. FR aM a Dimensions Gg6D(, 12 '
Total Sq.Ft. 312 Valuation 5 OOQ 1.0
(Frame,concrete,brick,etc.) / j) `� /�1 J
Rooms Baths "'6— Basement Ai/A Foundation Const. Ctdc lte t F akel''A�a//Chimney N/gyp Fireplace A/p
/ (Full, part, non ) �1 (Kind) (Nuriiber)
Heat. System F/PLT•R4S Type of Roofing Co M r; Ext. Finish MASa,d/7 G Int. Wall Finish 5 Ii EC ecc e
Use of Bldg. • ;Ai/Ao A r . M .. , ,,
/ A 0 " 1.4/ ___�� No. of Units /11/4 Bedrooms 4//hGarage or Carport Attached A1/i Private Detatched A//A
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 State License No.
VA/Icy1.14/ Ow Ins. Acct. No.
i/0/
J, REQUIRED
�
241X 121 Plumbing Permit
z6 ' K 30/ 4/6
211
' __�`, Ava;'�';0� ' E i .+;Al Womsc en Heating Permit
H Sewage Permit
N
Plans Received
// i Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 3 2 5/,1��
I hereby eel:#.44 informatjon submitted.,1§,*q.ammemrind there are no other structures located on this property except
as shown, y� .3 4
Owner or Agent) Date
A LAND USE OR STRUCTUKEAPERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / ' ,/r , Y ,e zon• s _ r '
Sewage Permit Number Issued Building Permit Receiet
' 4 _Issued
Remarks
//Tx" ,.,- 14..e.ex
Form 523 Bldg. Code