1978, 04-10 Permit App: M5729 ResidenceCounty of. Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201 17
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6,`Z
GENERAL REQUIREMENTS PERMIT FEE
P01MIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
1.
kind or alter any building or structure already erected, or to change a land use Construction mast 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 af. County Roads, permission must be obtained from the County Engineer's Office.
.SEWAGE SYSTDI. 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 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.
NOTING OP BUILDINGS. A permit is required to move an existing building. When a building Is moved on a County or State
Hlgbway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RE6TRICrIvE 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 a..p. J a yeQ_ 992/,4
Name of Owner 0-1-11 .2,4
Architect
Address
211,"3.44 • x47.2/ Phone 922-66gR'
Address Phone
Engineer/ Address Phone
Contractor s�1 i1AM4I Address Phone
Legal Description of Property (Give co✓(plete description from deed. tax receipt. etc.) Parcel Number POR r- o 4/402 - 9L✓o6-9067
ROADWAY R/Proom do' 1e
DESCRIPTIONWORK: New l Adtl tion Remodel Moving Bldn. Zo Fire o e _-I__
Sire of Lot /he X / 4Z. APP x1v!-/�f t.P.eri - Sewage System yJJ?' d ponst. a, Br.. etc
/ r / -7 / (Fr., Cone., Br.. etc.) C O
Stories .LDimenslone•T0 k 4/0 f 31}X3.5 r7X/.2 ?Jx Total Sq Ft. -Y .% Valuation r 9 O 60—�
Rooms L Baths Basement, tr PQ Foundation Const Chimney (Kind) rvaplac�Nu be�
(Fu11, part. none /J g_ n�
Heat. System Type of Mot Vi9 2 id 4 �Q•� �Ext. FI sh Int Wall Finish � .a -P
Use of Bldg. p.Qr tuf,e/ , 4 -!)BO eZri No of Units _Bedrooms .4
!! PLOT PLAN /41X /8 r /.V ®q ss Men.fr
Draw sketch with dimensions sitiir
ing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance t property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
f
toH
NORTH
SOUTH
State License No.
/9 K OA! F/Le-
Ind. Ina. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
▪ Heating Permit
tri • Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert information bmitted correct and there are no other structures located on this property except
as shown.?-ra
T//O/7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. II
(St n<- 144.4a
r/ p
Tour street address will be /% (J // .'S 1J, IIAA ,c. p The zone is MI L.M./..CLo.ZLLOK.rIIQ.�
Sewage Permit Number IstiedBuilding Permit f S al Receipt/// 7 Issued
Remarks
Owner or Agent
DO NOT WRITE BELOW THIS LINE
Form 523,,111/14: Cods
M/ritJ Floo rsyf+-i )SRoop
?GR-tory .Ty=—
'n4+?_1 12 aR