1978, 06-14 Permit App: M7158 Pool County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /I3°
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 sfokANE- 7T 2-O
Name of Owner peAN G KA1 .S Address E• /07/6 Zq?H Phone q22-1)--S5:3Y'
Architect Address Phone
Engineer Address 7 Phone
Contractor CV-NI-Ng)/ Po 01-S Address k) 3 Li o-7 LY C�ONs ! l20?Phone 327 —32.9g-
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number -215-4 3 - SISO4
LOTS 7/ fr4/ 10, :BL..od . ' c' KOk'oMn -To WN5i7E
ROADWAY h/W WIU)h
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone I Fire Zone 3
Size of Lot 1 30 I x ZOO" Sewage System A/'4 Const. ..TV---EL-4-IMO
Fr., Conc., Br., etc.)
Stories Nit Dimensions l6 X 32. Total Sq. Ft. -'S-I-Z. Valuation 76-,00°
Rooms 1th BathsBasement ue� Foundation Const. c1=EL. 1/1141/L. chimney Nh Fireplace NA-
u I, part, none (Kind) (Number
Heat. System ELECT Type of Roofing NPt Ext. Finish v/Al Int. Wall Finish NO
Use of Bldg. _WD.AM11\iE-f COOL " rg.1VA1 a- No. of Units_.-Bedrooms t1'4
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
2q rH AUI Ind. Ins. Acct. No.
CVNoor PJL-
. SIDENTIAL COMMERCIAL
I
REQUIRED
` I EX/ST7t-l�, q,
Plumbing Permit
? _S/p ,1 m Heating Permit
N M 0- / TIP Sewage Permit
.41 -4
J
Plans Received
38
Plans Checkedsl PRoPosr 1 321 1 Plans Returned
Pot_ ; — -
, -"-.- Plans Picked Up
Plans Mailed
1-...) 2oul ('/L
SOUTH
I hereby ce tify information subm tted is correct and there are no other structures located on this property except
as shown.
JV
Aji,01,.....7 -.-,—/y- A,
Owned oi�'A'g1nt Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE il
Tour street address will be E I O7I C 2a TI+ rt'S The zone is /JZIC,Itl-- LIRA,�_�uB,
Sewage Permit Number Issued Building Permit I Receipt 14746- Issued
Remarks
Form 523 Bldg. Code
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