1978, 07-20 Permit App: M7382 PoolCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT A2 042
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to Inspection.
RATER. Water supply must be approved by the County and State Health Departments. Where work on mater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSIEII. Permits are required in all cases by County Resolutions Noe. 45-133 and 47235.
BET -BACK FUN 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 -may 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 through civil -action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Address E. 1090(. 47S
None of Owner /WC. MD Sue DOLAN
Architect
Engineer ppm Address Phone
Contractor FR C4S(ON t✓ i4&'Jr .Address Dr.vc IT✓JT I 57/7 f G'4 ,^,�./J'Phone 3 - !
Legal Description of Property (Give complete description from deed, tax receipt, etc.I Parcel,Number l/ 2. - /
Address
Phone 522 -188
Phone
tor 4 pQc it Alf 4Co& ES'7rrE3 71/2.
DAESCRIPTI*t of WORK: New X r Addition Remodel `—
SizeofLot ill"x 290
Moving BIdg_Zone -2-
Sewage
Z
Stories =Dimensions
(ix 36
Rooms—Botha(rulBasement_
l, part. none
Heat. System EI.ECr Type of Hoofing
Use of Bldg. PR/ VAT>= S (Alv/AAC; Pet L
- Foundation Const
Sewage System
Fire Zone 3
at. 47�
6LM
Conc., Br., etc.)
nation pj,4o
fireplace
1Forn.
Total Sq Ftn vat
6 UN PE Chimney - F
Ext. Finish
��,tn�..,-.. (Kind) (Number
AMetre- re Int Wall Finish 60/fr6
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No of Units ._Bedrooms
PLOT PLAN
property lines; (2). street or road locations; (3) location of existing an
lines and streets; (5) dimensions of buildings; (6) location of sewage ays
w
State License No.
0K oN PILr
Ind. Ins. Acct. No.
C RESIDENTIA)- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certif correct and there are no other structures located on this property except
as shown. 20 JULY 72'
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LIN
Tour street address will be /Og6e, 471'14
Sewage Permit Number Issued Building Permit
Remarks
Form 523 Bldg. Code
rJT e zone is SJN41..:r FAMILtW.s
Receipt 1/3 11/ Issued
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