1978, 07-24 Permit App: M7298 Residence ! •
County of Spokane, Washington z,
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 IP a'•
0 y 1
APPLICATION FOR LAND USE OR STRUCTURE PERMIT t7J
GENERAL REQUIREMENTS PERMIT FEE // i
PERMIT REQUIRED. A land use or structure permit is required by County 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 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 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 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.
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
Name of Owner a ex-T I1 , M o r t" i s Address 'gee E- i0-1-h. A-ve_ Phone �?�L/ - 8 3.7
Architect Address Phone
Engineer _ D914/a/110
w_, �, Address Phone
l
Contractor 'YP ' Address � Phone
J 90 3
Legal Description of Property (Give complete description from deed, taI receipt, etc.) Parcel Number j�
The IN. 1 3 o ' o-f-`Hie 111. z 0-c -fti o W. 2, o 4' 't--h e Al.E. --14 04-- t he
SW. -!-- o-- - -h e .4! MI' <-14: C S'e.c. 2-4 TS P Z c. Re?vi 9 P if 41-
�, tiy, Nla c 1. -1-hp / ,-
Ai. -F--1--,ROADWAY R/W WIDTH fie '
DESCRIPTION OF WORK: New V Addition Remodel Moving Bldg. Zone _/ Fire e�
Size of Lot ry o ' X 13o Sewage System-el ,. onst-
��// / (Fr., C . :r., etc.)
Stories I Dimensions 3y I J( 'q a • Total Sq. F I,c3II Valuation 6 •..4' I d
RoomsBath Ac" Basement .P.Q Foundation Const.C�/V-rA' / Chimney C' Fireplace '=
,�f " I Full, part, n (Kind)� (Number
Heat. System�" ''8- Type of Roofing G _ kms I Ext. Finish Int. Wall Finish '- o
Use of Bldg. r is -�- / ,, q , ,_ No. of Units_Bedrooms 3
P 1•T PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
,(6-) 11
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
If64 NORTH State License No.
a1 f s Acct. No.
tl" 6 i
..3 f� RESIDENTIAL-COMMERCIAL
REQUIRED
L 3q(
_ Plumbing Permit
in Heating Permit ,
n ,
N fly
N Sewage Permit
Plans Received 7/2_ 77
Plans Checked
//
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here'y certify information submitted is correct and there are no other structures located on this property except
�as sha►1_ . •
719-YOr
1J Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
c'i'v' 4\jr(' DO NOT WRITE BELOW THIS LINE
Your street address will be 15 7 0 6 g 4 (±?. The zone is
Sewage Permit Numbe, Issue. Building Permit /)-pelt Receipt Liri2'5 4 ued
a,1 1_ ail ` S /. / ' /
W F •
Form 523 Bldg. Code