1978, 03-10 Permit App: M5356 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 •
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT ' 4 D
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
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 a
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE.fiIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingres
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 LJNE J' 44„ q zo„ _.
Name of Own:\ - __ - - - Addre -- 1—= —- Phon
Architect &_# 4.lir
41.44.41.44441.4.. .4 ,, ` Address O .1 Phone g2R-i. /4
Engineer Address PhonePp �nr
Contractor SCI L '��
44Address Po R! d fS' -#4'Q 3..44-
Legal Description pfPr perty (Give complete,1escription from d
eed tax receipt, c.) parcel umber F'/�� s.sC.�.�.r-c)Er, -0. 7
�. /..?v aL wry 5 j 1 4 / O 1.0TRA-d7 3iU 7
nY��r�r�,u� y
ROADWAY R/W WIDTH 5"O
DESCRIPTION OF WORK: New Addition Remodel Moving Bld Zon --1 — Fire one .L3
Size of Lot �. , X P.2-0 x Sewage System Const:...7:-
)
z/ (Fr., Conc., Br., etc.) a
Stories*Dimensions .2 P.X 3j . ..2.2 .aC .2„/ Total Sq. Ft/ II ation'3 g,95#Rooms .1- Baths a Basement /,L l -Foundation Const. e4-14 � Chimney /'”' Fir place 1.444-fMuA"`
(Full, part, none) _pa (Kind) (Nuryber
nA
Heat. System , C G Type of R fing 0.A�YJ9 E t. Finish Int. Wall Finish rim.e_
Use of Bldg. 1'jt„Q i f.4(4J � 6 -c No. of Units__Bedrooms 4
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.
0 NORTH ---- -- -z"..7,-
Ind.
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Ind. Ins. Acct. No.
Assow
Xf- 4ita,Cittet se /0-4"/C/ — --
0- C/ . _• __ ESIDENTI -COMMERCIAL
O K 6 N F/ke REQUIRED
Plumbing Permit
III Heating Permit
tout Sewage Permit
-I -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is corr- : a '.ere arke no other structures located on this property excep
as shown i i � J
i ner or Age. 7 Or Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. /
N,, 4 0 DO NOT WRITE BELOW THIS LINE .c S"b
Your street address will be , / 76 0 "i"Y.Q< -iAq r i0 The zone isitf ttiir.4 '4-(4r
Sewage Permit Number Issued Building Perm , Receipt 0 L,4.2 Issued
Remarks (() y is--1,i .
r ,
Otim..#41 &AD 0,e. 1,",,e iiii,_".7. / .._ , „
, , _, 4,.„ .,, pt 0 .• 0
Form 523 Bldg. Code
Requested Price 3 ? %`0
Lot Cost
PLOT PLAN
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1 - ELEVATIONS-:
Scale : _ co2 v Crown of Street 1- O
Finish Floor ..k. '4 77-
asic : Sq . Ft . Legal
1/(0 Sel f C?z70 �c>0C�\ a
HA (case # Job # Address _____
ddress ^^ `II J ( -�,
W OLS h - \� 0 Q d
fort age Co . Parcel #
GVhC 5\r\QS e; _
'ower Co. Water Co.
N,. o d e c r• 'M o d c;k ry
'lumber Excavator
NWCS FORM #L-7