1977, 04-13 Permit App: M0430 Residenceh
ysr=*S1/3
Alley of Spokane, Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT I a el
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of BAY
kind or alter any bullding or structure already erected, or to change a land use. Construction must conform •fth 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.
SEiAGE SYSTEM. Permits are required In all cases by County Resolutions Nos. 45-133 and 47235.
SET -BACK PROM 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 1s 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.
TRICrrVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
are enforceable through civil action. County Officials can not bring action to enforce covenants or dedlcat s.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner _R 5 ii P iD As -es Address
Phone
Architect Address Phone
Engineer [/ /� el -e
.rte �,I Phone
Contractor rt CV if l -n1 CYr / N C. Address f «5/Jgt -//.a/a. Aa.N} �ptone A- e-7388'
Legal Deepiptio of Property (Jii;e omplete des riptio frompd, tax receipt c)
T* S,L'/ii / /.,tae/-' N//
2s 5.3,2 - o 7 I g
CSC
DESCRIPTION OF WORK: New
Size of Lot 9 00 X
Stories _L Dimensions
I- Addition Remodel
; 4'O
CP/Z K ?Q Total SgF
Chimney
Moving Bldg. ZS Bldg. Fire Zone
�
t /G .4 / IVation 4/4/
-'0390.4/0part, none) (Kind) Fireplace Nu (Number
ture4
Ext Finish - /I / Int Wall Finish �t-Ntn 1 Q.
No of Units _ Bedrooms ..3 C
Sewage System onst.
r.
F
(Fr., Conc.. Br.. etc.)
Basement '7/s/ Foundation Const �.. '
Rooms 7 Baths 2
Full,
Heat. System c,4. Qki
Type of Roofing /earHR
Use of Bldg. pr. w ,.Qt-e.ciaJ
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (9) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
NORTH
RESIDENTIAL - COMMERCIAL
s
N
4
State License No.
RS-VP—C .f -1)R7
FIndd.. Ins. Acct. No.
Glc
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is rrect and t ere are no other structures located on this property except
as shown.
5/// 377
.P P
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
c9 1
741.014.1&DO NOT 0 -tab BELOW THIS LINE
Tour street address will be (174-0 4 6 1 1 (Flab V
agermit Number Issued Building Permit 'I J,,,/la Receipt
Pe
marks
Form 523 Bldg. Code
to
is•
•
t
F.
r
•
et.
1