1977, 09-06 Permit App: M3159 Residence•-
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Qgo
GENERAL REQUIREMENTS PERMIT FEE. f.!
FNIT 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 an 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 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 eft() the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
pl/ APPLICANT FILL IN BELOW THIS LINE 993
Name of Owner Address ` a�.3 4+ �Q Phone S3.r 4 6 5C
Architect Address Phone
Engineer—^ Address Phone
Contractor —P - Address Phone
03/(4
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Parcel Number
oCA-H- to ,e16L-r_ 4 3 ll--a.cg V-GP-Gf- /'°'" 0- e• -
DESCRIPTION OF WORK: New X.
Addition Remodel Moving Bldg. Zone Fire � Z����oone
Si of In J%'e2 .� �n r Sewage System .ni Const. t n 0
�/��/J//�`p� I r.. Co �Br otc.)
Stories Dimensions .-2 � X �te .0 O X 3 CAL,'"
tra&.* rotal Sq Ft / W 334 Valuation may+//000 co
Rooms .C. Baths Basement J�^1���undationn Const l 6-,A Ad Ara/ Chimney edie s FIre r ce CC
(Full, pert, Roo
i ll (Number
Heat. System E_ Type Rao gX!-// .a Akar-- Ext. Finish.��,1-[' - .p/ �' / nt. Wall Finish 1 M01J
Use of Bldg. Lj to��. OJ ..A e /�. O?tr.-, � Na of Units �Bedrooma • 3
p PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road 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
aaa-oI
State License No.
N.&—//v—Vta a 33 DC(
Ind. Ins. Acct. No.
3/81/78
cREetotNTtA63— COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
V. Sewage Permit
Plans Received _
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
pa SOUTH
I hereby cert y intr tion.e96 1 correct and there are no other structures on this property except
as shown. X 7
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 LINE
Tour street dress :111 be (o "f as / 7 IS ///Lt-C/I The zone
Sewage Permit Bomber Issued Building Permit11 315'9 Receipt
Remarks
Form 523 Bldg. Code
1
•
LEGAL DESCRIPTION: LOT 6, BLOCK 3: VALLEY VIEW HILLS FIRST .APD'_TION
ADDRESS: EAFT 6)422___Seventeenth Avenue, Spokane, Washinnton 99706
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1. SCAIE: ONE INCH EQUALS 20 FEET
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