1978, 04-07 Permit App: M5671 Residence, Renewal of M0460 Co my of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATI N FOR LAND USE OR STRUCTURE PERMITf ,, ��'
GENERAL REQUIREMENTS PERMIT FEE. '
PERMIT REQUIRED. A land use or stru ture permit is required by County Resolution to erect a building or structure of any
kind or alter any building or str ture 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 approveq 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 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 LINE 9€ /ca
Name of Owner 3-10) el 4r VY1e 1,6 Address i--64/1 .E Z- %#'. Phone g..1 i
Architect Address Phone
Engineer ']� Address / Phone
Contractor Thr—) 17(7�7/ •. Address c�/ �T `e - Phone ,9
Legal De cription of Property (Give comp ete de ript n f om deed, tax receipt, c.) Parcel Number .��/r `>� "'�
1-47 --- 2 I?i , - ; ,c 6 rime, ie.° . tees
ROADWAY R/W WIDTH - Lc Y /
DESCRIPTION OF WO K: New !� Addition - Remodel Moving Bldg. Zone, Fire Zone _'3
Size of Lot / 4c- Pam". Sewage System Sere onst. f'`,'rn e-
i / (Fr., Conc.. Br., etc.)
Stories Dimensi6 !� ® TotSq. Ft. aluation
Rooms .� Baths Basement F-44 f/ Foundation Const. �e7A/�=�4 Chimney Fireplace Q.
( part, none) ,...1 / (Kind) (Nu ber
Heat. System r ,... 4_yT�pe of Roofing _5/1061-1 -e- Ext. Finish j/ Int. Wall Finish � � ��•
Use of Bldg. F Gy.) �C'>fc?S. .- �ssid") 'e No. of Units Bedrooms
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 sad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH .t - License
4(5 i i
Ind. Ins. iti
No.
e. 2 17/1°
tai* RESIDENTIAL–COMMERCIAL
REQUIRED
Plumbing Permit
n+ Heating Permit
m
toN Sewage Permit
-I �
Plans Received
Plans Checked
Plans Returned
f
..��mor Plans Picked Up
Plans Mailed / .
SOUTH f//7/7 r/�
I r by rtify in :tion submitted corr ct and there are no other structures ocated on this property except
as s n. % �` � � 2 7(r
Owner or Age to
A L ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITEBELOW' THIS LINE
Your street address will be )5, J5 V- 1/) Ll
' 56 The zone is .45i-,/Lie/74c i-4L/
Sewage Permit Number Issued Building Permi Receipt
j il Issued
Remarks j c
Form 523 Bldg. Code