1978, 06-13 Permit App: M6813 Additioni APPROVED AS NOTED
Spokane County Bldg. Code Dept,
County of Spokane, Washingi Me
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WA UINGTON 9920 /i'11�%
APPLICATION FOR LAND USE OR STRUCTUAT -PERMIT /� ��
GENERAL REQUIREMENTS PERMIT FEE .4✓ .:.............
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
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.
NATER. Nater 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 LINE
Name of Owner — C V% \ th S; i ✓ Address ► 3 7 1 �' S rh Phone 9? -,1 -01y,
Architect v Lk.' r-�'� Address Phone
Address
EngCL��Phone
Contra dto�* f Address 1-1 1/5
Phone
Legal Description of Property (Give complete descri tion from deed, tax receipt, etc.) Parcel Number 2 7 5 -i!j – cn 12S'
DESCRIPTION OF WORK: New Addition T Remodel Moving Bid one Fire ne
Size of Lot J � C' Sewage System � �}++nst ��
(Fr., Conc., Br., etc.)
Stories I Dimensions I �, it X 19 6 JC `C= f- is f 6Total Sq. Ft, SF Valuation 13 0b0' c
Rooms 2Baths Basement_':_ Foundation Const. C'�C�2�T ii Chimney-2f",ireplace
Fu I, part, n e (Kin,1) (Number
Heat. System FI �. r <<StType� Roofing C Q��Lk,/ S4%4h r �Ex . Fi sh `( ' .+� +� Int. Wall Finish
Use of Bldg. �t� fC � 1� No. of Units—Bedrooms )
POT PLAN
C/ Draw Csketch 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.
t/r
NORTH
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1
1
!F�-,h 9�
VY\J�t
I herebyc tify
as shown. / i/,_
SOUTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL – COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
on submi d is correct and there are no other structures located 7;��
tthiproperty except
// _5
Owner or Agent V Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
Building Permit
The zone4i �
Receipt I