1977, 06-06 Permit App: M1742 ResidenceAPPROVED As NOTED`
Spokane C my Idg. Code De '.
Date G _1 �. County of Spokane, Washington
ILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
by
PPL.40ATiON FOR LAND USE OR STRUCTURE PERMIT �
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 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 %1,lAu ,11,_6 ?9G 3 %
i
Name of Owner CSO /� � moi✓% Address � /S _ /Z �� � PhoneL
Architect Address Phone
Engineer Address Phone
Contractor P Address Phoned
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number � _11).5 6 7 Y44
Y`,
Moving
Bld Zone Fire
DESCRIPTION
OF WORK: New Addition Remodel
Issued
Zone
Size of Lot
� y��
Sewage
System onst.
t
��
Stories
Dimensions ' 1 1-`5 l
X�� Notal
Sq. Ft. �/ Valuation - _6 QUO
Rooms .5
Baths Basement y Foundation Const.. !�
���
,��
� Chimney Fireplace --
Fu 1, part, non'
(Kind) (Number
Heat. System
Tvoe of oofing Ext. Finish
_,
/ Int. Wall Finish rI
Use of Bldg.
!'�>/. c.LLC���CI.i> ��(li
/��GGi�
No. of Units HBe ooms —
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 SUDDlY lines.
NORTH
State License No.
Ind. Ins. Acct. No.
ESIDENTI COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
)a
yl Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce ify information submitted is correct and there are no other structures located on this property except
as shown. yam? j
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT T BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
i=IS S N T A RMIT.
, - � 'Z ^ �- ^�77 NOT WRITE BELOW THIS LINE
Your street address will be/
,6c ;F ,;7 .3
'�f�—
The zone is 7 '+
Sewage Permit Number
Issued
Building Permit
1i Receipt / sued
Remarks
Form 523 Bldg. Code
THIS, RhL' IAri
G j;
MUST BE poslHil,
THE CONS TRIoUCITIONIV! STr