1978, 01-12 Permit App: M4565 MHr y •
County of Spokane, Wallington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201 U
APPLICATION FOR LAND USE OR STRUCTURE PERMIT11�__
O
GENERAL REQUIREMENTS PERMIT FEE
PERMIT ACQUIRED. A land use or flecture permit is required by County Resolution to erect a building or structure of many
kind or alter any building or structure already erected, or to change a lend use. Construction must conform mitb 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. share cork ou aster convections disturbs
the surface, shoulders or ditches of County Roads, permission most be obtained from the County Cmgineer's Office.
SEWAGE SYSTEW. Permits are required in all cases by County Resolutions. NOW. 45-133ttnd 97235.
leastSET-BACK25 FROM PROPERTY LINES.5' aid. yard, zones
and side yet from ac flankingnstreet. sAnd ao25' rearhe front yard areprequired rty line, of at
least 25' is required,
STATE HIONWAT6. share 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 most mit
performed in accordance with stakes. Points of ingress and egress most be approved by the County Engineer.
MOVING OP BUILDINGS. A permit Is required to move an existing building. When a building is moved on a County or State
Highway, clearance meet be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a as perate permit.
wrleriuprovisions
of covenants dedications
orc�n too with the I and
which are onforothrough civlaction. CountyOfcialscan not bringactionto enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS UNE 1
Nemo of Owner D N - L ✓ Z Address % 7�
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description firm daed. tax 7ceip�etF.) rarcel,N umEter
T
n ion 3l/� Z ' ,a
DESCRIPTION OF WORK: New 7— Addition Remodel Moving_ Bldg. Zone / Fire Zone
Size of Lot �� C x 1, I Seweip System SP // / Y C Const rNc,n' v He%Y.
CC9JJ (((/// ///fff IFr.. C`Mo.. Is.. etc.) _
Stories Dimensions Y X 7 o Total Sq. Fc 9� o _ Valuati tZ OO U
�fi ?✓ate —
Roana Bells Z Beeement Foundation Const C s�P� Chimney ( �) Fireplace(N her
Fu I, Pert, more %a / pO /w
Usat. Bldg. �PC i- Type o?itoofing � Ext. 14 Int. Wall Finish 2—
PLOT
Uas of Bldg. ^B ^-�V No. of Units. Bedrooms
PLOT PLAN
Draw sketch with diatomic.. 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; (S) locstic. of sewage sys-
tem and water supply linea - _ state License No.
y5
10
//nom sntr
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Ind. Ina. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Perm
Heating Permit
Sewage Permit
Plans Received _
Plans Checked _
Platla Returned
Plans Picked Up
Plana Mailed —
I hereby t fy IVP ion a t�> is 99rct avd_there are v�ther st�ures loceted� this property except
an show �„�r�yJJ - 7
/w�
Owner gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS ►ERMIT. NOA 7 tom
il`J ) DO NOT WRITE BsELOW TNIS LINE
Tow street address -.111 be � 9:5-1 7 xrThe awe is
venae ft I N her Issued Builth He
Perot c;ipt /� 7•Jd Issued
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Renk, �—
Ywm 523 Bldg. Code