1977, 08-23 Permit App: M2949 Residence T _
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 �/t/ate
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 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 LINEar,/ d , , -G q�0�,
Name of Owner 1 , / ,. /. , , ,>is A. Address _4 _ ' . {/.�.-1 ' Al Phone_0�. -.'4/9
Architect Address Phone
Engineer Address Phone
Contractor f , v.', Address s Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number pT-it1- �/o�4 .-90•-56
S , /6-D Al, �D.4 jg1• , G.U ti . .- , 3 8 r are/ i /t/w j 2.10-...2...S-4-4
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire one :-3
Size of Lot q/, t.. N /5a/ Sewage System xi C, Const. - -
f . I (Fr., Conc., Br., etc.) 0
Stories Dimensions .2 LeX S + I(/D — A- -5S Total Sq. Ft. J��� V I ation 0Q0
Rooms �Baths Basement .U.(� Foundation Const.. eA- .? &. J Chimney `(Kind'�ireplac Nnu,�ber
u I, part, none
Heat. System it
'__. C G Type of oofing .�,,., xt. Finish — / Int. Wall Finish A-A,71-1 _
Use of Bldg. .i/4/,f 4.1."-L...1 ., �- I Q/' No. of Units.Bedrooms -2
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 State License No.
6 K O Al F/.1-e-
41/;o:, "/P4,- Ind. Ins. Acct. No.
ESIDENTI -COMMERCIAL
REQUIRED
•.. Plumbing Permit
C
4J in Heating Permit
m
vs N Sewage Permit
//Gsc •PRoPas,EAt
R,Es1 oo.../ce fitistil Plans Received
Plans Checked
• Plans Returned
•
Plans Picked Up
Plans Mailed
.
/ 7 rt/ AV& SOUTH
I hereby certify ormation submitted s correc nd there are no other structures located on this property except
as shown. .---7 •
//' ---,2:7 �� � . -- - -7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT 'I ST' ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
o 44f DO NOT WRITE BELOW THIS LINE /A
i>
Your street address will be f` /4 S./ 3 /7,4 44A-C_ / The zone is 64/IL(.. a- �i�
Sewage Permit Number Issued Building Permit Receipt 39/ Issued
Remarks
Form 523 Bldg. Code
At.,j 11
Sketch Showing Survey of
Q> �r PA E L ,l
Being a portion of NE4 NW4 Sec. 26--25-44
SPOKANE COUNTY, WASHINGTON
Scale: 1" =30' May 1977
For: Northwest Developers W. #77-01
UVC i�c, j
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.
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291.60 "CO
v.
Adams Road
/, (Propose d R h/
LEGAL DESCRIPTION
'' The south 150 feet of the north 320 feet of the west 91 .60 feet of
• the east 383.20 feet of the NW4 of Section 26, Township 25 North,
Range 44 East, W.M., Spokane County, Washington.
St' :1"%h , 1N rkari P ?o l