1978, 02-10 Permit App: M4893 ResidenceAPPROVED AS NOTED
Spokane County Bldg. Code Dept.
140 WILDING
)--4•4•7
•
County of Spokane, Washington
CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
UCATION FOR LAND USE OR STRUCTURE PERMIT
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 mast 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; andd-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.
Name of Owner
Architect
Engineer Address
Contractor
APPLICANT FILL IN BELOW THIS LINE
99' v&
Address/!/' /0707 /Z���yt/L� Phone /•26 073 .j
Address Phone
Phone
Address
Phone
Legal Description .Property (Give c• plete descriptionfrofn dee•, tax rrecei� t. etc.)Parc -I Number.
6,0' 4/ (07
.2057-3 -
9d
DESCRIPTION OF WORK: N w Addition �.__ Remodel Moving Bldg. Zone Fire Zone
Size of Lot
JO X 6d Sewage System -5e.0071C- onst.
�r Conc., Br 1
Stories / Dimension.24 Praia `1-.21 `Vi 0 '� '2 ! X 3 '2-/ Total Sq. Ft �9
Rooms 7 Baths (F
Heat. System ��(eC-
IJsW of Bldg.
s
v
elado
Basement Pc,// Foundation Const C A'*PC /qtr -e-._ Chimne
I part, none)
Type of Ping Ext. Finish! `// itti</Int.
qac i-GU:ChoNo.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply linga.
,1--ettict_ NORTH
PLOT PLAN v(
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
(>41
Valuation 7.0etc a(2°
3dARyFireplace
(Kind) (Number
Wall Finish 40,2r40,2r"t
of Units L Bedrooms
as sh
SOUTH
( Ind. Ins. Acct. No.
RESIDENTIAL - OMMERCIAL
REQUIRED
Plumbing Permit
rrr Heating Permit
NSewage Permit
Plans Receiv
Plans Check
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this roperty except
7
/ d .—
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS)10T A PERMIT.
DO NOT WRITE BELOW THIS LINE
-1lotir/street address will be E _ / ! o2 O
Sewage Permit umber
1/ %5- / � .CS1oYd/
�y iW- y 7/)
Issu d Building
er it
The zone is
` Receipt 40i
Form 523 Bldg. Code