1978, 03-31 Permit App: M5586 Residence0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. B11 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/,
GENERAL REQUIREMENTS PERMIT FEES..__®.........._.
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect B building or atructur of
kind or alter any building or .truct are already erected, or to change a land use. Comtructlon Most c.farm w1 e
Spokane County Building Code and Zoning Ordinance. Construction is sublect to inspection.
WATER. Water supply most be approved by the County and State Health Departments. Where Work on water connections disturbs
the ..face, shoulder. or ditches of County Reads, permission most be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nes. .5-133 and WT235.
SET -RACK FROM PROPERTY LINES. In most zones and under moat circumstances, a set -beck from the front property line, of at
least 25' is required. . 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Wberethestructure but. a State Highway, clearance must be obtained pertaining to set -back and Ingress
and egress.
COUNTY ROADS. Work on street right-of-wav any not be performed will staked by County Road Department and Work moat be
performed in accordance With stake.. Points of Ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to save s. existing building. When a building Is moved on a County or State
High.". clearance most be obtained from the County Engineer and/or State Highway Gipsrtme.t.
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
Name of Owner ._.• r I re L- / 1 e Address - y' Phone 17 Z Y %7 2 G
Architect Acidness Phone
Engineer Address phone
Contractor Tr ,Q a/ n Address fes`^ r Phone S
Legal Description of Property IGive ewnplete description from aged, tax receipt, etc.l Parcel Number �T 5 •yY —
Lr -1' -2 til k / e [_/ r kS ?/'L/ r
DESCRIPTION OF WORK: Naw Addition Remodel Moving Bldg. Zone T
. .FronecZ.00, me
SizeofLot /CNnY 1/6Sewage System S"0]4CrcCJ �.e,tce
.)
Staring L Dimension. 2MTotal Sq. Ft. 1f'1 -Z Valuation f-Cv'n
Reoma Bathn�.Basement c'[/ FoundationConal. C^-�x_ Chimney Mod FireplacelN Z_ -21'.
I rule part. none
Heat. SystemL=Type of ofin9 � �4 Ext. Finish rN Afe..' L. Int. Wall Finish �ePnr iE
Use of Bldg. ' 1 r— Ba
J. ;I `, - e g - '°A^rl h/ $tea o%law 4 iA No. of Units _Budrooma _
LOT PLAN
Draw sketch with dimensions showing: (1) property linea; (2) street or road locations; (3) location of existing wad
proposed buildings; (W) distance to property lines and streets; (5) discus ions of build loge; (6) location of sewage sys-
tea and water supply lines.
NORTH
n 71
SOUTH
I hereby certify
m shown.
Stole License No.
Ind. Ice. Acet. No.
RESIDENTIAL— OMMERCIAL
REQUIRED
Plumbing Perm
Heating Permit
NSewage Permit
H
Plans Ltecelved
Plans Checked
Plans Returned
Plans Picked Up
Plats Mailed
'//'fV?d#"
is correct and there are no other structures located on this property except
/ Omer or Agent .b
Oats
OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
A PERM IT.
Your street address will be E/IX/
Menge Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
Building Permit
The snne�a
Receipt Issued
s
Z Z
7\
DD
O
SOUTH
I hereby certify
m shown.
Stole License No.
Ind. Ice. Acet. No.
RESIDENTIAL— OMMERCIAL
REQUIRED
Plumbing Perm
Heating Permit
NSewage Permit
H
Plans Ltecelved
Plans Checked
Plans Returned
Plans Picked Up
Plats Mailed
'//'fV?d#"
is correct and there are no other structures located on this property except
/ Omer or Agent .b
Oats
OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
A PERM IT.
Your street address will be E/IX/
Menge Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
Building Permit
The snne�a
Receipt Issued