1978, 04-18 Permit App: M5836 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
S
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / 7
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 BELOWrTHIS` LINE
Name of Owner/ Of/S h. tcleAi O Address A �78L)1 L/ ii/JJ 7)/mii Phone 8244-¢�2 B
Architect Address Phone
Engineer Address Phone
Contractor S`Gq/,Ateo (-ONS] Co. Address 4.7$04 LJPR,V,6e j-*e,vii Phone G%21- 3e6
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 3=-
4 O */•- 13s / 1�6&EL /te.16,/ri° rifAivivez) i-/u i•r7),E✓,EGopjvfe'Nr
R/,IJ UI d.07/1 — .6
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg./oneZone� / Fire Zone,
Size of of /0/ / ' Sewage System itit/ _ Const.:/4A/�f
t N f k nJr K _ (Fr., C c., Br.,
etc.)
Stories �! s imensions�G-O X 28'0 +2`7 O 7C Z4 O t f Zr((4( �[ f )0()Total Sq. Ft.a',=5 Valuation
Rooms r Baths 3 Basement u1G Foundation Const.. i2O /2„grg Chimney �TG. Fireplace
(Full, part, nori8l ((��,, (Kind) (Number
Heat. Systems 4,6.q i' Type of Roofing ,1f(A^,�E.� .Ext. Finish W1 / Int. Wall Finish J)1lYhb9LL
Use of Bldg. gest t C. V/'/ 7"rRGfIEA L7'44P j&E SVA] •7)-66-er 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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH frC-o NState License No.
S 8224
l_ r Ind. Ins. Acct. No.
3 3 •
RESIDENTIAL-COMMERCIAL
REQUIRED
Plumbing Permit S
Arz'l 6W-6Z) o n+ Heating_ K!n i g P
l' 31,
ertrut n- �
to N Sewage Permit e4•off
-
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
.ereby cd '- 1 t,on 1:13. 14-d is co, ect and the a are no other structures located on this property except
shown. 4041WINIp
Owner or --
• Date
A LAND USE OR STRUCTURE PE• IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
4,2 3 3AO NOT WRITE BELOW THIS LINE
rl Your street address will be (' f`p Aya, rThe zone is(.(�1 11—te.-Lit
Sewage Permit Number Issued Building Permit Receipt /34 Issued
Remarks i
Form 523 Bldg. Code
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