1977, 03-28 Permit App: M0322 Residence f
: / / .
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEEkir � '
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of fly
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
l the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
r SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
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.
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
Name of Owner,,E)(C e// C i ,i✓ Ls AddressQ C �0 7 t Phone 9‘1`P-'(-'(-f(-7cJ
Architect /ak-sQ/1 Address Phone
Engineer Address Phone
Contractor .is.1`4st`)-'" Address /J,____Phone /
Legal Descr' tion of Prrgperty.(Give complete description fro eed, tax ceiipt, etc.) 5.e..) • 9? /7". en A f/t' CT:A
-56 0 d T T7 E'_ r,,( / /3e) r. eV' .g/e)c_i< / 9 tit'r d_
k14-Ci if a .'�_c 5/4/ /3 O.?
DESCRIPTION OF WORK: New / Addition Remodel Moving Bldg. Zon / Fire Zone
Size of Lot 9n X /30 Sewage System '�` Const.
(Fr., Conc., Br., etc.)
Stories,—Dimensions c-Z... X 4/b /� Total Sq. Ft. I 7/ - Valuation 1I,.c'0`�'
Rooms 7 Baths ..2 Basement .(C�' G* Foundation Const. CL'ii(i . Chimney Fireplace -.2(Full, part, none er
�� (Kind) 6
Heat. System Cl.� Type of Roofing C-'/29�i Ext. Finish7-77 '/ -/f Int. Wall Finish le, ea Yr)
Use of Bldg. ftYYl -- fJ7 c' -�`2-; c Asa-c &.. No. of Units_Bedrooms 3
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 RESIDENTIAL-COMMERCIAL State License No.
Ind. Ins. Acct. No.
��iG REQUIRED
Plumbing Permit
in Heating Permit
in a
N , H Sewage Permit
Plans Received
A
Plans Checked
Plans Returned
` Plans Picked Up •
Plans Mailed r
SOUTH
I hereby cgrti information submitted is correct and there are no other structures located on this property except
as shown. t
Owner or Agent Date f
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENf%ES.
THIS IS NOT A PERMIT.
C,1- VIA ttp , DO NOT WRITE BELOW THIS LINE
Your street address will be /`f 7(/ ;,.:1'd L /4/ The zone is Com`- F
'" Sewage Permit Number Issued Buildi g Permit f) . i ) ' Receipt Q slued
Remarks
fl/c/22 afr , ,,,,,,14,-1,41,Aar--
Form 523 Blda. Code
T e. South 9( ft. of The West 130:1 of' 13lock 169 .Vera
r
Ixc e 1 l Construct ion Co .
Farce
90
}
/0
39
r1, 900 44x26
01 to ,.
Z2x26 ��
I.
I .
•
ADAMS
I — I,
j t-
LtS .S...c:K.tc.. ""'•C ( 2' -
:1 -i.-1 / I
t I -_ --v4— l',N1,1(g
..1
' ,1
\ 0
-- - -
1 07
a
41 in
L.,.c \ \ ,,-- 1 .4)1'
cri t•- 0
i fq
11 I
<1... i
til
I
CT... 41.4 4.-.4..) ,G, 0
m,;krz,...,A zi..1, (t,s-vi
—
4
_
I_
// _21
1
I I
r ,.....,,,, . -.... 6.., „..
--V6-q- 424..-. 1''' `C)5"'t"C c s“'‘-f; \te,44-i- 130 -Rk.,4*
. ) 5
Tr a.c....(- 1.,4'.-.) g‘- geizA ‘,.,,..1:-c,.
. ,
(;... s 1 .. ,. J
--<\ ', 4)
C..,...2,L13,(.:4::-1 0....:64 kir 6 1••-)(-1 CLAV,14-.-.1..)C-C. .. 'S I m " .'.-.-:,(),/,- ,‘,1t51-%‘Q ,(_-•.'i .,,I FX,.,
icocz_ G.<C.C.1A, Cot\t4A—. Ch . t`t• `-'s)czi'`.. Aza,:),....)....Y--.... to4,,t,