1975, 10-03 Permit App: L1693 ResidenceA A.,.
Canty of Spokane, Wasmgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 MY
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 Count, Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-1a3 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a sot -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 an 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 moat 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
S 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 7�/JD C erf Few/ nansf Address r 9..0-0 Phone 9AP-292.'
�
Architect Address Phone
Engineer p,��.�.p � Address Phone
Contractor $‘1,41t2 --,'
Address Phone Legal Description of Property (Give complete descriptio from deed, tax rec ipt etc ) p 44142 -d/( S
Lat /3 , S/k / ) Myren cs&tes ha, /
DESCRIPTION OF WORK: New X Addition Remodel Moving BIddB. Zonqe ( Fire Zppoqe
/30 y X in L Sewage System Jeff Y7t,' Const.
Size of Lot �,.��Q ! v
Stories SF Dimensions r" �J '1 Total Sq. Ft. r�
' 34/ auxa.2' C fJt `.ry.,gr..etc.) 09
Fr., Con
(
Valuation • C., y%0
Rooms LBetha - Basement TN -I/ Foundation Conal. rOn&rttC Chimney (Kind)
-14 Fireplace( a.
Units Bedrooms
PLOT PLAN acmplerlhy Basefndhtt
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
&WAtbe2 fR f shake Et Finish / IntwllF''h Lir a
H (�
set.System i y e n Roof
in z. tis a Iola
Use of Bldg. Single ill! /Cesl'd.nce /l theft d' anzgt No of
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to Droperty
tem and water supply lines.
an
N
NORTH
RESIDENTIAL - COMMERCIAL
I hereby certify informs
as show
SOUTH
6fi eyt(mitted is correct and there are no other structures locat d on this property except .11
�3j7 S�
REQUIRED
Plumbing Permit Precision
1.1 Heating Permit
ysw Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plana Mailed
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
and i%N ` �pjDO NOT WRITE BELOW THIS LINE
,%
Your street address111 be JI J o l9 - The zone is
Receipt /5-014 ssued
Sewage Permit Number Issued
Building Permi
Form 523 Bldg. Cede
Chapco Certified Construction
10811 E. 26th
Spokane, Wash. 99206
JOB NO. lg
LEGAL DESCRIPTION: Lot/$, Block 1, Myron Estates No. 1
Single family residence finished complete, t bedrooms, 2:b9ths,
kitchen, dining, family rooms, separate utility,'doublegarAgey
10 X 12 deck off dining room, treed,lot, 2 fireplaces, 17OO'�sq.ft th.