1978, 02-22 Permit App: M5205 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 ._`902-Q
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 cirdumstances, 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 e
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 Stage
Higt,way, 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 � {` �-ry
Name of Owner ``)�A �r'1,'S � Address
t)OX. i VC S�Lc- 141037141037 Phone ft�/ 45-647
Architect Address Phone
Engineer __. Address Phone
Contractor Address (Y L U - 9g 437 Phone t 5
Legal Descri •roperty ( ive c ete description f om a d, tax receipt, etc.) — '- - •
0_0A-ek. 1 Cedug.
Stf
/
DESCRIPTION OF WORK: New '/ Addition Remodel Moving Bldg. Zone V" Fir one I /L
Size of Lot 141 2 I �. 61r y 1Q Lt /GZ. O LNLGFSewage System 5 +.L Const. `C-r rv`
_ (Fr., Conc., Br., etc.)
Stories \ Dimensions �Z-K 66 Total Sq. Ft./�'S Valuation S'$ "•60a
Rooms Baths Basement C--' Foundation Const. Ce' . \, ChimneyFireplace
p (Full, part, none) (Kin ) (Numb r
Heat. System Eke.. Type of Roofing CC-w`;;k Ext. FinishP`1 J! Int. Wall Finish r`` LAj -'
Use of Bldg. (R.r'S E d o --v.-4-, C l No. of Units_Bedrooms
7' 6i /9 6c PLOT PLAN
Draw sketch with d mensions 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 RESIDENT' L — COMMERCIAL State License No.
�// 27
Ind. Ins. Acct. No.
71x)-1-- 7)09A1 " ??—i 9 a
REQUIRED
Plumbing Permit
m Heating Permit
e,
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer, ,informat'., submitted is correct and there are no other structures located on this property except
as shown.
a1i. ij'�� -21, ( '
Owner or Agent Date
A LAND SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
nt . 714,440 DO NOT WRITE BELOW THIS LINE
Your street address will be __a7s ^ A a The zone is
Sewage Permit Number Issued Building Permit ?tel—.VO 5 ReceipteSaj— Issued
Remarks
t j—
Form 523 Bldg. Code
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REVISIONS
NO. DATE BY I t 1K /, ti4./
12 ePi&Le A.c..,,..} L 11 ,` /
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LI* DRAWN BY SCALE MATERIAL
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CHK'D DATE DRAWING NO.
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.�'' �, 3 TRACED APPD
`TELEDYNE POST 18AE.O1E-8','X11