1978, 06-27 Permit App: M6955 Residence1
1
Gigs
•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 29e, 42
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building of 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 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 HIGHTAYS. 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 he
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.
RFS1RICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the laud
which are enforceable throng
h civil action. County Officials can not bring action to enforce covenants or dedications.
p,/ APPLICANT FILL IN BELOW THIS LINE
Name of Owner `/,&0 . ,h ‘a O/Oi Address
Architect Address
Engineer j Address Phone
Contractor pri./7.4.14.0 . Address
Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc., Parcel Number Peer-d1444C2 -946 G-9067
99.2,0
Phone A 24-8216
Phone
Lor nut- 2(ma �..F',r_r o'
ROADWAY R/W WIDTH 61,)
'
DESCRIPTION OF WORK: New
Size of Lot 9'0X/96/
Stori
Dimensions
_V Addition Remodel
2Xati/ 2GK $e rxtF,
• •
Rooms//7 Baths ''A Basement /0n0 aa
Heat system ffx
�T of� fi Y'��.lP O�
(Full, part, none
Moving Bldg� Zone Fireeyone
Sewage System A2P�IJLLL_const
.2/K r 999390 Fr.. Conc., Br.. etc.) _d0_
Total Sq Ft Valuation '7.9 $00
Foundation Const �CCii.%21 Chimney /' 4' vaece %ieY6-4!.4/41
(Kind) ,�t IN��!!�a�ber
t ish � Int Wall Finish /✓/✓ "
../7-�No of Units _Bedrooms
Use of Bldg0,11 �rr�'ae D,CJ c tr P1 LAI.? LAI.
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; (S) location of sewage Sys-
tem and water supply lines.
NORTH
I hereb. ify info
as shown. I
SOUTH
m
N
y
State License No.
Ind. Ins. Acct. No.
61-ESIDENTI -COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permlt
Sewage Permit
Plans Received
Plans Checked
Plats Returned
Plans Picked Up
Plans Mailed
690
Itted is correct and there are no other structures located on this property except
A LAND USE OR STRUCTUR
THIS IS NOT A PERMIT.
tO-A4 72(4 if a)
to
RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
J
Tour street address will be /09/A C. S' -O 1-4 (?4.,1 .07 ��„ The zone is„Jr-
Sewage
Permit Number Issued Building Permit/I.-6 W Receipt /f.3 7ed
Remarks
Form 523 Bldg. Cod.
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