1978, 01-27 Permit App: M4677 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION 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 ally
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, f 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 in Tess
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 Owne .di �-, . _ i _ . _ Address /O �o Phone 9 3-f'-O G
7.3.(
Architect / Address q9 2-0 G Phone
Engineer Address Phone
Contractor Address --)"' Phone
4Leo! Description P operty (Give complete description from d ed, tax receipt, etc.) Parcel Number�+ C7 3 9 - 0X0-3
.� 3- d / - /— 1c��
DESCRIPTION OF WORK: New Addition Remodel MovingBld . Zone __[____ Fire ne
Size of Lot I I / 1 /qG // v Lam` / I L 3`- Sewage 7 CO� ���/L System onst.
StPries Dimensions ix 7�/F-� •C{• �Fr., C c., B , eto 1 �,,
�l9 Total Sq. Ft.�c r D d v
Rooms Baths Basement - --1e Foundation Const., Chimne ,1,,,' Fireplace
iction
(FuI1, part, norms) > �lYL y"G�I(Kf d) Fireplac�N--rig-2Z',
er Z
Heat. System Type of Roofing Ext. Finish - if( Int. Wall Finish "_
Use of Bldg. `ltea/ „ ,eigkr,�.� y.- �j ;, 4/Z ( No. of Units Bedrooms
`off t/ )( 1'” 4-/t-e-0
PLOT PLAN 5-g-ej I • .�,- U.—
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 Lic f421°.
,�� , n:, Ins. Acct. No.
___ _ _ .
REDENTIAL COMMERCIAL
9 -�
'" J REQUIRED
/ S / 2'
3 Plumbing Permit
FmeHeating Permit
et
,,r N Sewage Permit
�° 9 Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct a., there are no other structures located on this property except
,aF shown. /
Owners or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT IlyPEAMIT.,�
`P4/V_j- DO NOT WRITE BELOW THIS LINE
Your street address will be ' die . - 6 7 j /
%e-� e zone is -4/ i -✓
Sewage Permit Number Issued Building Permit . �ceipt / ,- Issued
Remarks /
Form 523 Bldg. Code
C 4PCO CO s rRUCTICk
10821 E. 26th
Spoken., iilt. 99206
Loorkl description: Lot 3. Block 1, Ashuns Mills di torr T
JOS NO. 36
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