1978, 01-23 Permit App: M4639 ResidenceCounty of Spokane, Washington.
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 S�(j
APPLICATION FOR LAND USE OR STRUCTURE PERMIT f /
GENERAL REQUIREMENTS PERMIT FEE. /
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 canes by County Resolutions Nos. 45-133 and 47235.
SET -RACK FROM PROPERTY LINER. 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.
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 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
c42/G
Name of Owner 0 coil /a ''o i1a.On Address AS /t/.r 5'Lrlel/rs/ey phone ?.2Y / Ks -6
Architect Address Phone
Engineer Address Phone
Connector C seta P ere-tNviSnA Address i /1'3iC bJeJ/es fey Phone 9—' /111-6
Legal Description of Property (Give complete descripti from deed, tax receipt. etc.) Parcel Number n'esi 4'.a — 90 66
Lor 3// -Allyra.f fs?arr 88' 'c%/. o94' va- 9069
DESCRIPTION OF WORK: New ✓ Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 132'X ISW 'XI/o'X /BS' 0O, sir nor., Sewage System ar • Const. I=v<Mte
FMgac gcap< Fr., Conc.. Br., etc.)
Stories / Dimensions h -S XJB �1 Xy! 8 J-8• Total Sq Ft.a"�92 Valuation 'rC r.cz re
Roans le— Baths 1, part, none Basement Fe /l Foundation Const �Mt'r'e--%
Chimney $t&as. Fireplace
Fu (Kind) (Number
Heat. System F A. E:/rc1. Type of Roofing r'Pt/at- Site/( es Ext Finish t./// + flat-. Int Wall Finish T/inet YbC,/e
Use of Bldg. -51..171e_-Prim; l/r nr5 /c%rta-e A.tLI!-Le j.I z7'i-- No of Units—.Bedrooms J
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.
AcG
to be
N4�
NORTH
/37
70
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Th.reictor4, dr,
I
by cer fy infor
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State License No.
‘0,23'o/ To•NN•Se.yflj7
Ind. Ina. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
bmitted is correct and there ere no other structures j'ocated on this property except
or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 MOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address x111
Sewage Permit Number �JIssued/o S� Building Perml
Resects / / / o /
e zone TW•
Receipt I sued
Form 523 Bldg. Code