1978, 02-07 Permit App: M4789 RemodelCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �f /
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.
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 Nos. 45.133 and 47235.
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 0P 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 COVEAANTS. Builders should check provisions of covenants or dedications and easements ruaniog with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
[' n APPLICANT FILL IN BELOW THIS LINE a.JQ.e-44.4a dv r/9Ra6
./'
( Name of Owner Po ir.- . . !JA -14f) Address Pho92/i—Z44
Architect Address Phone
Engineerg Address Phone
Contractor..010,4410 Address
Phone
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number A 0414'41/— 90.$7
'COT 7 L3 tr, 74
6.4/ ad -7
DESCRIPTION OF WORK: New
Size of Lot /OO X /A,4
Addition Remodel _ Moving Bldg. ?one _/ Fir one {s�
Sewage System eitedartZest CConstet1
(Fr., Gt>�Lflonc.. Br., etc.)
1
Stories X 3O re REMODEL Total Sq Ft NA Valuation �000 tt
Roams 3 Beth Easement Foundation Const F3z 4V� Chimney el Fireplace /✓f1
'''F,,u,,,,,,I,part. nonce j�q��..f��.t{t (Kind) A �{ Num ar//II
Usetof Bldgm{�.Q A??yType of Roofing �_ Ext Finish eli4 /+Int Wall FinisF•/.1'f/'N'/yge%f'/D.N/0
mead, 7V./1dsitta lw.- x Owr
PLOT PLAN
.w`Ggd9W-
No of Unita _Bedrooms
Draw sketch with dimensions showing: (1) property lines; (2) street or rued 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.
NORTH
114,-;44-P .R.Atrt4Lelte
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I hereby
as shown
SOUTH
_ bill — if:
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Own. or Ag Ir Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH1515 NOT A PERMIT.
State License No.
ated t O.L.
Ind. Ins. Acct. No.
€ESIDENTIA COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
Tow street address w111 bee //eSd ti /` 7 , / (nl-®
Lk1C9 The zone is a(J./MAilr Qe</. ,A.�
Sewage Permit Number Issued Building Permit" 1 1 Receipt /39 -5 -Issued
Remarks
Form 523 Bldg. Code