1977, 05-27 Permit App: M1611 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a opti
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 must 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=447,235.
i 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.
1 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 reauired 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 uncial-ate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and migmatite running Wits the land
which are enforceable through elvil aetion_ County offieiale can not bring aotioa to i:ntoroe covenants or dedications_
APPLICANTSILL IN BELOW TMs LINE
Name of owner , (narsLF trnr'S J 2u l jJ-J Adair$gs )o i k! 10 P.�. Ica_ Phorm 9 /_'-f/41 L
Arehita`t 't Addr000 - enono _
Engineer '� Address Phone 11
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt. etc_) Pereel Number
.&OT ) Lei d_44 .3 e'J.1r2!/f7->,i A L ue--,L, J ,OI Tit-I
p ev rt.. es i2 — �, pi- z.3.r—tial —(i l k
DESCRIPTION OF WORK; New X Addition Remodel - Moving Bldg. Zone / Fire Zone 3
Size of Lot ge, X. /i-5- r
Sewage System onst. Z"/Z+
p etc.)
Fr., Cone.. Br.,
Stories_L_Dimensions 4O S 'L Z-S Total Sq. Ft. /632- Valuation ;200
Rooms BathsBasement Foundation Const. non)CAA Chimneyt"ndLe- 12 Fireplac Gam _
(Full, part. none (Kind) (Number
Heat. System L%-4 Type of(f oofing ��t)r%t J Ext. Finish `T4 y!f! Int. Wall Finish ' - wo- -)<
Use of Bldg. (1'41_5 t tt�..7�t c& Zu �-}-t� pt-7`r {-►t.G_ c 14G24C. _ No. of Units_1-Bedrooms 3
tot,4-k.., j-,rdb`.ej Sow,.(s{ �
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
LV 1t)1-F C'_ 735-6 14
Ind. Ins. Acct. No.
RESIDENTIAL-COMMERCIAL
4 rr 4 P
REQUIRED
Plumbing Permit C/3/ '
in Heating Permit S .A..)4 Ls
` N
mi N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereby certify information ssubmitte is correct and there are no other structures located on this property exce
as shown. , �/i `Lt-/fes .S t
Z.7.7 !!!!
Owner or Agent Date
A LAND USE OR STRUCTURE RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE (6 t(
Your street address will be /: CP 6 �- /3 The zone is // `� !.
Sewage Permit Number 4_,Issued Bu lain: Permitceigt 2 Iss,ed
Remarks <Lke--tri 6 • 5 S h/P� ib -a 2s a `u&e X e_, p
. - Li2c m-._ liA.:a L .. '. • r— 'J
A,txs 123
Form 523 Bldg. Code
98.19'
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L . 1 , B. 3
WOOLF ADDITION
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