1978, 02-07 Permit App: M4986 Residence•
11
County
of
Spokane,
Washington
BUILDING CODES DEPARTMENT,
N. 811 JEFFERSON, SPOKANE, WASHINGTON
99201 `
was
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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. 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 (kz YVI t Address / 1 2--S r. �37e> � Phone �e
Architect Address Phone
Engineer Address Phone
Contractor Address Phone !S�- n -
Legal Descri tion of Property Give complete description from deed, tax receipt, etc.) Parcel Number
�r 1',1 % Z0 I
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bldg. Zone _� Fire Zone
Size of Lot �& : Sewage System Const. �
/ %,,/ , (Fr., Conc., Br., etc.)
Stories / Dimensions `� -�Yr �' d Total Sq. Ft. --1-9 Valuation
Rooms_ Baths Basement � Foundation Const.. C�� Chimney z}Z�_ Fireplace
//�� u 1, part, none (Kind) ( umber
Heat. System1*47_RM42 Type of Roofing CO/T}"� Ext. Finish "Il Int. Wall Finish
Use of Bldg. :t2 -,L11 _ H No. of Units Bedrooms %.
PLOT PLAN 41
Draw sketch with dimensions showing: (1) property lines; (2) street or road locationd&(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
Sir% C -/- oO�77_/4 Gi`f-�_19
I hereby cer
as shown.
SOUTH
State License No.
Ind. Ins. Acct. No.
(RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit _
NSewage Permit _
1
Plans Received _
Plans Checked _
Plans Returned
Plans Picked Up-
Plans
p-
Plans Mailed
ti1bn submitted is correct and there are no other structures located on this property except
-n_--?_.
Ownek'orAgent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S N0,T d PE"T.
Your st
Sewage i
4. Remarks
Form 523 Bldg. Code
MIA COMPANY
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