1978, 02-21 Permit App: M5075 Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITz 0�
GENERAL REQUIREMENTS PERMIT FEE Jed
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erecta 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 Noe. 45-133and47235.
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 -0x W. * e a Address
a r� 7 SO2 a'ne tik Phone gah--o,SS
Architect Address Phone
Engineer Address Phone
Contractor dam+ -ems Address a� �-.. Phone +C -4a- J
el amoP
i tin of oP P
,c• C/
LeH4rF.2 ""l7'01
B P / �. Ra 4 (Givp complete deem' don from deed, err receipt. etc.) Parcel Number
ga. &%? 1 Z)
DESCRIPTION OF WORK: NewAddition
Size of Lot /%a. /S A aa`r, O(.
// /y�am}�
Stories LDImBr,aiOne/Yar�YF.K4� .SOA.ir'
Roams —&
Remodel Moving - Bldg. Zone �/ Fire Zone 3
Sewage System
he v Const. rr
(Fr., Conc.. Br.. etc.l
edt
/0X( �e✓ta/C/��f/Xa sl( Total Sq Fta ,fin Valuation
F°
Baths Co t. �i'16 Mr2�� Valuation
.,2
(Kind) (Number
Ext Finish11,��/-/1 Int Wall Finish .Cry4✓ICIJ
re.8 e aLLcwa4a- ¥ No of Units.�Bedrooms ..9
PLOT PLANK'
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dine:miens of buildings; (6) location of sewage sys-
Bathn ,Basementport.ntki.° L�/
Fu I, pert, none'
Heat. System 1Type of Roofing
Use of Bldg. jVCLtit Y'P_ S;cibY3Oe
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
517
`0
n
near
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IA
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a
SOU TH
State License No.
118-21L-r-ascq,a
Ind. Ins. Acct. No.
3SL5"; S83'
RESIDENTI }COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Pians Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on tis property except
RPas shown.
Owner or Agent CZ `Dq /
7
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS! N A/ERMIT,
Y streettaddress will be
Sewage Permit Number Issued
Remarks
,
DO NOT WRITE BELOW TN3 LINE
/07/2 Y7
Building Perm
The zone is
Receipt Q -QV 1Isailed
7 C
Form 523 Bldg. Code