1977, 03-30 Permit App: M0270 ResidenceA
47,11knihif of Spokane, Wasilitgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .45/•50
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 an Ater 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 49.235.
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 Higbway, 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 OP 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 throng
h civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Engineer
Contractor .PQ/+'rvp---•
Legal Description of Property (Give
L04— 3? —, L.i2_, a
Grididern
A )ngtR,o.J
Address
o0 991ao G.
rN , S/ OS " f IOF: Phone2¢2�.5 V j
Address Phone
Address Phone
Address Phone
complete description from deed, tax receipt etc I (5 cif Y Yea
v5e .T
olvid Edi -ed -at.
DESCRIPTION OF WORK: Newt. X Addition Remodel
Size of Lot fj (a
S'
Sroi a Emgimensions
Roans Baths �— Basement )0V1W' Foundation Const
(Full.part non
e)
Moving Bld Zone Fire Zone
X /re ad�. Sewage ystem S. Tr poast 7�.�/. stn o )
o• Nc". IFo. C�C. Br., etc.)
'y K ir'i Y= dx�6 R)(/A Total sq Ft a 0o//��4�ee ,, Valuation ' ¥2)000.
/YSJlt . Chimney Rnbit+ireplaca �'
(Kind) nn� (Numb
Int Wall Finish Klrta t' '
No of Units_ Bedrooms 3
Heat. System Gil -Type of Roofing .SL 6.4 j Ext. Finish T///
Use of Bldg. . J/ 42./, re" -,2414..x1 e, x. °I, .44...PLOT PLAN
Draw sketch with dimensions showing: (I) 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.
WORTH RESIDENTIAL—COMMERCIAL
SOUTH
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewagee Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here p;Cy infwrmstipn submitted i orrect and there are no other structures located on this property except
as shown. Ay l'7/il//
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(-nn 744a.k.
Your street address will be ��n��
Sewage Permit Number Issued Building Permit f0 1. O
Remarks
DO NOT WRITE BELOW THIS LINE
vii e; qre -.
The zone is C2-4-m-�z//'pc. Riy1
Receipt ,Tj-2 Vie Mtied
Form 523 Bldg. Cods