1977, 08-25 Permit App: M3018 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ___________________________
PERMIT REAUIRED. 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 0
spoknne county Building code and Zoning Ordinance, Construction is subJeot t0 inspection, q
WATER- Nater supply must be approved by the County and State Health Departments. Where work on water connections disturbs 1'
the surface, shoulders or ditches of County Roads, permission must be obtained :rom 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 stroot rigat-of-wAy msy not bo oerformod until btaked by County Road Department and work must be
berformed 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 12 1110704 0 a County or State
Hiehirap, oloar&aoo must bo obtilaod from tbo County Eaginoor &adtor utotC HiRtiwoy Deportment,
AfffMOLY BUTLDTfiDD_ Accessory buildings (garages. sheds. etc.) reQuire it separate permit-
RVA1".04 1<QVPAMTN, guilaePs g$auln eheeif pFew1818n0 of 88veflaAts OF 88401t10111 Rail bLBikiati fiiaffii with the land
ihich ®re eiirnriisahla thfaiiih ilvll ®itlea. uiiiifitr If flilii,li iiia aat brini action to enforce cnrauania or dedicatlong_
APPIdCANT FILL IN BLLI3W THIS LINE X1_A s ,Usk mai
Name of awnsr Addreaw
Er >� � . >r sfsf' c ; entme
AFnituRt
Enuinear Addmna Khon®
Contractor Xs�4srstrL>< Addroaa Mimi
Logo[ Voloriotion of ProRonY (giva comRloto dDIN10110n ?FOM noon, ON 1`666101, 06.1 Perurl Number PVA5 — >��>�� 1�•�ddf
r -
D€SQR!PT!QN OF WORK! waw aealela_w Ra!aaA$I !Ylivn8 11 48. Wan® Fir dna
Site of Lot qd X Z_V,-5 -
1 Cone_.
SIM@ Dimenaiong _ _ — '� Tovu
Raeme lletha Di�aemanFeandetien Denet. P � 10— thimnev I i ®!ae IN
1f!^ t IKindi
Haut, fivstam ! QW , "'"-Typo o Roofing 11 xt. Inlalt — l _ Int- Wall Finish MAR r
Uso of BId9- --- - No. of Units Hodrooms
VY-
PLBT PLAN
Draw sketch with dimenninna nhowinff It) property linen: 12) ntreet or road locations: ell location of existing and
proposed buildings- (,l) distance to property lines ar_d streets. (5) dimensions of buildings; (s) location of sewage sys-
tem and water supply lines.
NQRTN
to
y
g%gtf Liw!l* N,t.
Ina. Ins. Aeep. Na.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce ify info do submitted is correct and there are no other structures located on this property except
as shown.
ORaer, r gent onto
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT,
DO NOT WRITE BELOW THIS LINE
Your street address Wall be ZZL a, -k -40d, zone is�/����
Sewage Permit Number issued Building Permit Receipt q -
Issued
Remarks
Form 523 Bldg. Code
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