1978, 07-28 Permit App: M7462 Residence• •
Canty of Spokane, WasE t
P g on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �=
GENERAL REQUIREMENTS ��
PERMIT REQUIRED. A land use or structure PERMIT FEE / UUU
kind or alter any building or structure permit is
ory toCouchangety salland nuse. to erConstruction ect a nmor ust conform rwith 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 47.235.
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 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 ' till) K l t a Address r- 1 1' C ,. 1 ;; U e
r
Architect
Engineer
Address
Address
Contractor r. f• Address ,
Legal Description of Property (Give complete description from deed, tax receipt, etc I
Phone
Phone
1.9- 4 r,
Phone
#40 or Phone :714-4-1-1
d �ytf/ Q 'c, cit
ii --o J'' 4, iclrc/c b Icor .a.
rfc - / —
DESCRIPTION OF WORK: New Addition
Size of Lot ,% --...:?-....-7Stories Dimensions 4e."(14 4- ' /er�x -01,--
Rooms Baths Basement ` . % Foundation Const `4:6 NC- r
(Full, part, none)
P;r:A Type of Roofing
••••-..)/,1)d
Remodel
Moving Bldg. Zone Fire Zone
Sewage System
Heat. System
Use of Bldg.
64 le -4J 4/ le"--<‘—e-el-c-t
pro osed buildings; `� (4) distance toroert r p P y lines aid streets, (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
onst.
(Fr., Conc.,Br. etc.)
Total Sq. Ft Valuation 5, OnQ
Chimney Fireplace,1'
(Kind) (Number
Ext. Finish eer i C ke
PLOT PLAN
Int. Wall Finish /
No. of Units _ Bedrooms 4
op_raw Sitetth wit dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
m
-4
NORTH
RESIDENTIAL — COMMERCIAL
State License No.
:4 r
Inc. ns. Acct. No.
O
REQUIRED
Plumbing Permit J"
m Heating Permit Y' s*'
D
(i)Sewage Permit �L31
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
rte. , %11,r,le{ OT �DO NWRITE BELOW THIS LINE
Your street address will be / 0 I 0 Kj/ j t cc 1/
Sewage Permit Number e zone is ( 1!Issued Building Permit Receipt Issued
Remarks
Form 523 Bldg. Code