1976, 11-22 Permit App: L6308 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._!3_,_ _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 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 q 92b(� _
Name of Owner-MAMAX � -I NC Address 44`L1 r..S . FA2R Rr\ Phone 924-350
Architect Address Phone
Engineer T Address Phone
Contractor MIA IVI A X Address SA 1V► 'EPhone SA M
Legal Description of Property (Give complete description from deed, tax receipt, etc.) LLS A et EL_ $543—3$ I a
L cors 114 8 � Kc 1<e > io 'T1.1.)1•141�r�
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone 3
System Sewage SEPT, Const. F ,es
Size of Lot IA[') A !3p g s (Fr., Conc., Br., etc.)
StoriesT._Dimensions ^28 X 14 2.X 2.1.S ) Z$X Total Sq. Ft.289' Valuation.� S-.�, 00
Rooms Ce Baths 3 Basement U LI_ Foundation Const. do�)C- . - ChimneyM ON 1FifepIace 1q
(Full, part, none (Kind) (Number
Heat. System 1=l FG. J/4 Type of Roofing klr t m S I-1A Y Ext. Finish F1�* Int. Wall Finish T QY(,tlA I L
Use of Bldg.,SiNiGi L.'s( '67S S;t P-1.1 tilJpTTA C,1aFTN No. of Units Bedrooms 3
G/AIzfiGE? ) UNFINISHED BASM IT.//
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
.23 -- 0 1 — )2q 609
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
�+
Sewage Permit
u7
-1 ettt-A-cle-4 4F411-4-
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informati n submitted is correct and there are no other structures located on this property except
as shown U� 1�� Gt e
j
Owner or A t D •
A LAND USE OR STRUCT RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-114,,0 DO NOT WRITE BELOW THIS LINE
Your street address will be o q 0a, E _ 2_-] T 1+ ie zone is A G - 1E if'1
Sewage Permit Number Issued Building Permi Mir Receipt 7 Issued
Remarks
Form 523 Bldg. Code
4.�
<.K$E ALBAN ENE® 105485
,. •1. LMGWiL3f' LIANGAROrONIi
REVI410N RECORD RUTH.
-PLOT LA N
SCALE'. 1"= 20 -OI
LOTS -1-1 4 12_) BLOCK
Ko> OMO TOWNS )TE
SPOKANE-: COUNTY)
PARCEL._ No. 28S4.3 -_-z10
TOLERANCES DA mAX(EXCEhT AS NOTED)
DECIMAL SCALE DRAWN BY
I
=20 APP40VED BY
f
FRACTIONAL TITLE ^ L 1 1A ' A L E v �.L 3 R S) NG LEE
t FAM1i.LY RES IDE NCE
ANGULAR DATE DRAWING NUMBER �r ;
t 10-2..5=ice R cJ ' i 1 o 4
%AM IN Y. i. A.
nn�