1977, 05-12 Permit App: M1391 Residence __ .. ,
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ff/
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 mus 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 S atel
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
A ESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
R TRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
rh h are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
t APPLICANT' FILL IN BELOW THIS LINE
Name of Owner C ("-L7'7AV, r
T)0 N Address :- ! P 1F X "— Phone `7, `1- -�-C
Architect Address Phone
Engineer
TAC
n Address Phone _
Contractor -.tL OUP Address - -- ' C--) I 1e. - Phone 4-7D 4-7-1-7-18:,-;. i
k.
Descri tion of Property (Give complete description fro deed, tax receipt, etc.) Ye, ,i".•v-<.� •
LOT , Vi Lf 1�� E Ly T41) X4119 � -) ,�JOc c=b0._ _; } tic) A-. y
DESCRIPTION OF WORK: New < Addition Remodel Moving BldgPCone Fire"Lon�e
Size of Lot X ).. C ( ()( 4 ) c Sewage System PT)C Const. t'�.
�I e tr `f rkI:1.Oy,G;¢P C k5� ) Val Conc.,,�Bj etc.)
Stories Dimensions �t5rc �g Total Sq. Ft. ���� Valuation '�'LJC-�
Rooms Baths Basement PART Foundation Const.�� - 'P.E Chimney t.fireplace l
(Full, part, none (Kind) (Number
Heat. System CLEC, f,4. TypeofRoofing '"P ` Ext. Finish-T/- I, Int. Wall Finish j�P)/W fl((_
Use of Bldg. l ki(�-L Fl4--'1(t I IDC ll.) 5-"e� 4- -c'c..r i No. of Units L Bedrooms
i
PLOT PLAN eLs�t, t�L
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.
��)\Ino. Ins. Acct. No.
..-"4-='-,0-- 441.
cii .,t/j,—,
REQUIRED
Plumbing Permit
in Heating Permit
m
H N Sewage Permit
-4 -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t:_: N-SOUTH
I hereby certify information submitted is correct and there are no other strut res located on this property except
as iown, - r A
— _... 'biller"or-Agin
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. At:-
DO NOT WRITE BELOW THIS LINE?ACC_ L
Your street address will be /-1-7/0 0bit-*-71A -�;, The zone is fi-/ �'L'' i 6--� �=
Sewage Permit Number Issued Building Permit /: Receipt j (f, Issued
Remarks f
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ri:
Form 523 Bldg. Code
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h 41.362 1005 E TS 55OUARE
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