1977, 05-10 Permit App: M1272 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
a
APPLICATION FOR LAND USE OR STRUCTURE PERMIT P �j-
GENERAL REQUIREMENTS PERMIT FEE
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 j
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 9q2d4,
Name of Owner L/.s I,i ii Address r • `_,..' Phone
Architect Address Phone
Engineer Address Phone
Contractor (1 ( yv _ Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number /S7L-)"1— Lig
DESCRIPTION OF WORK: New )C Addition Remodel Moving Bld . Zone �_ Fire,Zone 3
Size of Lot 7 X //61/ /7 Sewage System td-Z ' Const.'--71-4-4-44C-1
/ / (Fr., Conc., Br., etc.) 40
StoriesCJ/Dimensions x37 f7 Z
Rooms Baths d ?X/4) LESS 1, _� Total Sq. Ft.9/9 Valuationr3 ��
Basement" -C,C.�.Q Foundation Const. /( �"?-C.1.? - Chimney Fireplace
/
n (Full, part, none) (Kind) (Nu ber,g
Heat. System i.diType of oofiny i .! Ext. Finish J/l Int. Wall Finish 1F/ ' Lk
/, L
Use of Bldg. 1_12.4 !+fi��°` ks2.40 �.I flf _ 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
Ind. Ins. Acct.No.
jJ
• RESIDENTIAL—COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify i rmation submitted 7orrect and there are no other structures located on this property except
as shown. Cc
Owner or nt Date
A LAND USE OR STRUC RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
L.0 1) DO NOT WRITE BELOW THIS LINE
Your street address will be 7/ /,r6)' ` i The zone is 9 " . • ..e
Sewage Permit Number Issued Building Permit 41.11teceipt .. Issued
Remarks •
Form 523 Bldg. Code
Z
CERTIFICATE '
I certify that I have surveyed and staked the north 70 feet of Lot 6 I
in Block 4 of Michener's Replat in Spokane County, Washington, as '"
shown hereon.
2V/1/(7
gtipiato-t---,
V - ne Cameron
, Professional Land Surveyor
Monty Leinum
N. 1026 Oberlin Road
Spokane 99206 .*
May 10, 1977 _1S. C4 ,`
ivy 141 of C
t
6393
`'gip�`4,:e.G STEikF'9 0'-
,.%g7a1 Lz0
I
__4.- .
• 11 4.40
M
C"
a _ h
O
cc
• I1A.4.3 o
I
to M M ,
> 4 4 i38,44-
•Q
C
IA
• 114.47 m Q
kn
ti tis
• 114.41 6 138.47 E
h
109,48 138.4$
5tt4To AVE.