1978, 01-23 Permit App: M4640 Residence• r .... 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, _SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 5 y
GENERAL REQUIREMENTS PERMIT FEE ._.._/__
PERMIkor alter
T
T�ED A land use or structure permit is required by County Resolution to erect a building or structure of any
any building or structure already erected, or to change a land use. Construction most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Rater 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 44.235.
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. (mere 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 andirkmust be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. 1
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building Is moved on a Comty or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department,
ACCFSSjRY BUILDINGS. Accessory buildings (garages,
RIME IYE COVF21AN18. Builders should check
provisions
etc.) require a separate permit.
p sions of covenants or dedications and easements running with the land
which ere enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
-r-•
Name of Owner P Pal / E Li isC fr1 Address 1= J40/5"Gee/[rS/ P7 phone 4. mach
Architect Address Phone
Engineer Address
Contractor Car i/ Y .b(, vis nN Address 0. /Ya/yl
Legal Description of Property (Give complete description from deed, tax receipt. etc.)
LnT /S /iyran gSfr/ r tacfd-
Stecit
Phone
&t. /r-c/ry Phone 7a6"" /545-4
Parcel Number W/4/. d43 — i
n9</• s, -- 404,7
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zane 3
Size of Lot ,00'X /93'K 9no- 'X A¢•r O. 49' acre,` Sewage System Ce r 'Palk
l ge Y ICFF.. f'htMf
hk'•1s'e • Ba•a - gi3O,Ic Val ttinconBr., etc.)
srories_LDimansiona 42 "R 36 — 1//X.3Y - 2,(ail, /6'.fS� Total Sq Ft. 9 [dF
q $/ Valuation%r] fyOn
Roons_o-Bathes Fu BPsetment f-ul 1 Foundation Const CneGr&Tw Chimney Ctrs.rr Fireplace a-
none11 (Kind) (Number
Int Wall Finish SWcrn` roc ic
No of Units _Bedrooms
Heat. System FA. inert Type of Roofing rSof- aka k. -
Use of Bldg.
Ent Finish %'111
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 Ferret Dr.
ctxr
State License No.
123 -CI Co•ern •sc•xipu7
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 507k Or 'WI
I here cgrtlXiD• it submitted is correct and there are no other structures located on this property except
as shown.
er or Agent Date
A LAND USE OR TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THg15 N A PERMIT.
/5-877c"
DO NOT WRITE BELOW THIS LINE
Tour street address a will be
Sewage Permit Ns r
Remarks'ss/r' '✓•sem - m- Q� O
�wmlY�%tlwl%�� r •
2
sued
Building Persi
The zone is
Receipt slued
Form 523 Bldg. Code
0"
cus
46.
110
5 O 1 CO cc irs
• •
z
a
N