1978, 07-12 Permit App: M7167 Remodel County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
00
GENERAL REQUIREMENTS PERMIT FEE 23 XX
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 pot(',NE_ cfgo37
Name of Owner TI�KKY L< 5G N 11A1KE— Address .1C 712. VA-I >=y(uA4 _ Phone 92S'D eo?
Architect Address Phone
Engineer Address Phone
Contractor TRSy/ L. SCH!MKF— Address E )67iZ UALLZ 'W!k phone cf22$-Y>O3'
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 594- 1013
I..- W io .F- ll_ ,. T . _ L . . ► .__ a _L + . ► _ ► 0 _
•�O" 0 i PLATS,PA—GE 4-Zo xc>:Pr `TI- I.+) 66 PE, ""r" -T171-EM-OF
QQ�� v�AY Iz�w MORK:�ES�CRIPTION�F WORK: New Addition Remodel k Moving Bldg. Zone Fire Zone
Size of Lot 2. Nc.,K ' /lPf Sewage System N&
(Fonst.
r.. Conc., Br., etc.)
Stories 1 Dimensions g I X Z y N 12 1 X Total Sq. Ft. 1402a Valuation 3000?
Rooms _L.. N.Baths Basement/ Foundation Const. N A Chimney IVB Fireplace PI/4
(Full, part, none (Kind) (Number
Heat. System 14P- Type of Roofing IVk Ext. Finish tillk 514AKESInt. Wall Finish D IA)AL-1—
Useof Bldg. KV-MOD Iz L 18.16 "EX' 5 r"4 iDgNCt No. of Units_Bedrooms 11A
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.
Ino. Ins. Acct. No.
SN r gIof� `R MoDE1— -TO K.S1pE110E
K ITGI-1,EN1 LJfr L..k ltfou - SIDENmew -COMMERCIAL
WALKtoAY) REQUIRED
Plumbing Permit
n+ Heating Permit
H N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
UUTH
I hereby r ify f oration '�itted correct and there are no other structures located on this property except
as shown. / , \/i y 12` )617g
Owner or Agent 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
PRO lcLf LT(.11zAL
Your street address will be E• /671.Z. LfAL-1-7_1(L(f ICY The zone is Lkitif=441aiikr=41VD
Sewage Permit Number Issued Building Permit Receipt 146 8 7 Issued
Remarks 7/47
Form 523 Bldg. Code