1978, 02-06 Permit App: M4780 Residence County of Spokane, Washidgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE SO
mro
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, 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 1s 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 ehoek Provisions or oovonnetg ar dtdlfiatiOnS 454 eiidenento running with the land
W!l14ti are 4niorC4allc through e1411 64t1811. COWAN' Olflsiein can not bring action to enforce covenants or dedleations
APPLICANT FILL IN BELOW THIS LINE ..e
I Name of Owner EA‘.1.-- AIS T. CP, 1/41C, Address Ile E aeE Lel('ri9 in Phone `ll.'"." 3 O jI.,
Architect a
Address Phone
Enginoor n Address r� Phone
Fic
Contractor r 1.E, ' 'NPT Cd, iN C Address S'15'E +€C'SE c e OCf 0 Phone '119'7-'7 3 f 7
Legal Description of Property (Give complete description from deed, tax receipt,y )
L-r (0 13),ea r.K ("t/ LC) d oen k fl w N ` PA g2 4 oi VAi, -2 6r/1'73,V-42'2
DESCRIPTION OF WORK: New 1."-... Addition . Remodel Moving Bld . Zone '~ Firene 2-
Size of I 50 Y 1 3 6 Sewage System E 71.1 C Const. .m4M 6
[� (Fr., Conc., Br., etc.)
Stone Dimensions 1&(o) 3 CO Total Sq. Ft. 9 .1r Valuation 4/04 CC,O
Rooms (0 Baths , Basement (0O7) Foundation Const. C-.O Ai C- Chimney IML l
(Full, part, none) Fireplace
(Kind) l I.sipryber
Heat. System E Ci is T py a of Roofing ICOM P Ext. Finish 1-( 11 Int. Wall Finish p ieV IAMIL --
Use of Bldg. r��-7,r"'d/, �
"��r No. of Units I Bedrooms ;
PLOT PLAN VS TY ,G4 D
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 stree • (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH 'ESIDENTI A —COMMERCIAL State License No.
01613- a/- 64839
Ino. Ins. Acct. No.
c:"..02.- C4/16t-c.-104P/1221 ,141.,
•
REQUIRED
Plumbing Permit
m Heating Permit
m
ca N Sewage Permit
. -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted s correct an there are no other structures located on this property except
as shown
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Oyu/ MAI-' 1 1-' DO NOT WRITE BELOW THIS LINE
Tour street address will be 7/aro 1/.0' "1 The zone.\ is `Ce ( 5 6{
ri
Sewage Permit Number Issued Building Permit Receipt /5 Issued
Remarks
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Form 523 Bldg. Code
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