1978, 02-22 Permit App: M5184 Residence r- _
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITete9
�
GENERAL REQUIREMENTS PERMIT FEE 3.�
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-or.way may not be performed until $taped by county Read Department and work must he
Performed in accordance With stakes. Points of ingress and egress must be apbrOYed by the County Engineer.
MOVING OF SDILDINOa_ A permit is reuuired to move an dusting building_ when a building is ®eves till a gouty or iatatg
aigaway, clearance must be obtained rim too county Engineer and/or stgto Kigpwgy Department.
ACC1MMMRY BEIILQINGM; Adoeonory buildings (garages: sheds; eta!) retluire a aeunrats permit_
RESTRICTIVE: COVENANTS_ guilders anouin streak provisions of covenants or dedications and @AagBOgtp mums with tag land
Rhieh are emtaroese.e through Olvll tMtiOA, c ustJ 41fielal6 can not bring attic& to o&force covenants or dedications_
APPLICANT FILL IN BELOW THIS LINE
NAiiiii 4t Snifter*— ?el ,S - --Rddri ' T '- - Phone
-...!%---1--2- ---7,1!-P----'�rr
Architect Addreww is_ , _.•,.e..,
annn®
EnHiii iii — Rihl'tO' s � r� Phone
ontrnetor Addreaa Rhone
L$1a! P$O><fifstien ef,t3fe� Y (5_140L+S"'Fl}4w ABSr�' Ei6- 4
1 #rein g �j, t11u Ip !fiscal Niiiibei ' e5 -4 +
PL5CRIPTION OF WORK: NO1.------""W AO:Mien R$m*dO1 MOVIII{ BIdu.Zana _ Fire e ,
' ' FJ oust.-
Size of Lot /.�-.-� f�.� Sewage System ��� �r' -c-:
, d- � (Fr.. Conc., Br., etc.) "r
Story Dimensions " X'.- j Total Sq. Ft..'✓9 Ya3luation�-—rf 5 4r*'--
Room✓✓✓s Baths - Basement --(17 Foundation Const. [ - -e-7.-- Chimney'%1'J/,td Fireplace ArAr
(Full, part, none ., , (Kind) 2 (Number
Heat. System/ 27 Type of Roofing.�� �cx/ c. Ext. Finish s / �o4 Int. Wall Finish -4=' �
Use of Bldg. /4,---7-1,6e -'- fit—--._—, --- .10.4---0. ---".- No. of Units
Bedrooms ----
PLOT PLAN
D aw 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.
41
Ind, In- Acct. No,
41: ID .,44. , COMMERCIAL
REQUIRED
Tit-3
Plumbing Permit /�
m Heating Permit&� 'x�`E��ie�
m
i.e H Sewage Permit ...._17-.105: 4;,..-.4°-"-
=II
_ t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
441/02 V/7 7 ?..i.opt4e...i.
SOUTH
I hereby certify inf t on submitted is correct and there are no other structures located on this property except
as shown.
--� '
or Agent
Date
A LAND USE OR'SYRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
eP-��� DO NOT WRITE BELOW THIS LINE
Your street address will be / /(S2-Q iir ��...„„e4a, ,9,/fc- The zone is
J /1-
Sewage Permit Number Issued Building Permit Pf 5/S4(Receipt_____ued
Remarks
Form 523 Bldg. Cede
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