1978, 01-23 Permit App: M4623 ResidenceF
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR.LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT, FEE .-.(ir
p
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an.
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.
TATER. 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 iv 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.
COUNTT 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 en 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 g9zO(o
Name of Owner [•U, iz.S qt. 4.'20 'n20C. Address 3,2C uu' /CA Pnw,e9.2tf JJ.P?
Architect Address Phone
Engineer Address Phone
Contractor .9A/v1.L. - Address Phone
Legal Description of Property (Give complete description from deed• tax receipt, etc./ Parcel Nuyiber
Zor 9- 4/ oc/C Z Al VE -04./ e -c 7-intr
P92CRG - Posen &L/ oc o 5/Vy2. — 7066
DESCRIPTION OF WORK: New
Size of Lot /.PEED -
Addition
7.07 Ar4ct
Remodel Moving Bldg. Zone / Fire Zone 3
Sewage System rd.Pr t— Const st•CA/Nf'
IFr.. ...... etc.)
Stora/ imensions .7n XSO /eVcite°,WG Ac.cl'S W' 640164- Total SqFt ob
+ Valuation tOso
Roams Baths 7--- Basement LG Foundation Const fen w .r2LT7 Chimney Z Fireplace H7Ar0, day
(Full, pert. none (Kind) (Number
Int Wall Finishl%'P/'WA LC -
•'of Units _Bedrooms
Heat. Systeme-A1 ELL C_ Type of Roofing .SP4r aid/Nr-Ext Finish FORM!
Use of Bldg
e‘../E-4-41L-
PLOT PLAN
Draw sketch with dimensions showing: (I) 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
"A0 ,'a 4(
To
ti
State License No.
Ind. Ina. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Perna Mt l6////7Z
Heating Permit(.1/Ai//s'lC •-(41 /WV
Sewage Permit /
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify format on submitted c act and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USEOR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
/SISN TAPERMI%� p
�it-l/ DO//NOT WRITE BELOW THIS LINE
Your street address will be / 0 / Q G - € �.5i1 of Sir.- i/�w) Th one xs
Sewage Permit limber Issued Building PeH131 ('� talon /•i1f9 Issued
Remarks/.G<-L' A Ili . "--.r.ei( -f
Corm 523 Bldg. Code
of
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