1978, 01-16 Permit App: M4600 Residence 1464 Ctilinty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
53
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 mast 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.
i �,, 7 gAtPPLICANT FILL IN BELOW THIS LINE
+
Name of Owner v�L 11.E C Address E 1 3:3c67 !1 �✓r At i.^ Phone l JR t1
Architect 01 Address 14 Z w Phone
Engineer Address Phone
� ��A� ti
Contractor �'"C�r'� � �t- Address tt Phone
Legal Descri •on of Propert (Giv ompletje description from deed,tax;ecei t, L tc vi 1. Z_ I9�
---a ''iiJJ i� l�f .2t
vi
OF WORK: New Addition Remodel Moving Bldg. Zone _____1.— Fire Zo e
Size of Lot 14.6 X VZ-0S- Sewage System '.?-„ + ConsConc., :r et .
Stories Dimensions ��)( !/ d ill- A1.3i Total Sq. Ft."Z 1I Valuat' �r 1141
Rooms . Baths Basement • �,UG Chimne Fire. .c=
Foundation Const.. L � �� (Kind) �/.�11 Lump `.
(Full, part, none Y
Heat. System L ype of Roofing 400117 Ext. Finish I . I 1 Int. Wall Finish
Use of Bldg. 1 L ,2.0.ref i '.1 No. of Units I Bedrooms
PLOT PLAN
a) 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.
State License No.
NORTH CRESIDENT AL —COMMERCIAL �3-O`-i -jVlE-\V i^2
p��-n s • Ind. Ins. Acct. No.
PIFF�' -
(—i LIE — )' Y Oki
00r REQUIRED
--gl f---1Plumbing Permit
AM- in Heating Permit
rwd -
N — ,'� ic+ lc — N Sewage Permit
-i ZIARAi 1.
W L4 al
Received
1 4 ( Plans Checked
1 Plans Returned
ri
'1.0 l I Plans Picked Up
Plans Mailed
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SOUTH
I hereby certify information sub itted ii c rr t a there are no other structures' located on this property except
as s own.gu t? 11 ; '' J A.4 \u2 t 11:7-$
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
OiK. , DO NOT WRITE BELOW THIS LINE
Your street address will be / j 9/.'S e , ,(�- 00- The zone isry / -,lL'LLL X24...-
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Sewage
2- . .iSewage Permit Number Issued Building Permit Receipt / '3/4 Issued
Remarks
Form 523 Bldg. Code