1977, 09-06 Permit Application: M3143 Residence, GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT D Sj
GENERAL REQUIREMENTS PERMIT FEE .__
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 e? .2,/ , 0 p p
Name of Owner 4ES12 ly 4LIU�}% Address ,a1 f' 'V � ��G�L� arY Phone 9aq-5aia
Architect Address Phone
Engineer Address Phone
Contractor Address Phone ��j
Lega De cription of Property (Give complete description from deed, tax receipt, etc ) O 1 .3 �A
)7o 7 fa. d i7 /.0_49-c7:- - c' sz 5/ 4/- ? 4L7
DESCRIPTION OF WORK: New 1-'-'. Addition Remodel Moving
Size of Lot 07/3 x no )(
e go 7o X dot?
l"i
0 vr/ 2. __
Stories Dimensions 24 x s � g X/ A oZ
Rooms $_ Baths -012—J" Basement Foundation Const.
(Full, part, no s
Heat. System tf Type of_Roofing�f� Ext. Finish i.0 rt�
Use of Bldg. €- ts...s�°s+t.C4 4J� C�.7/ � 94- -Av
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.
-PPIPOCH j3a2 �" RES
Bld Zo _ Fire Zone
Sewage System .. ryonst. �'.,.
(Fr., Conc., Br., etc.)
Total Sq Ft S" Valuation ar6 Ad
Chimney Fireplace ell
(Kind) let)
Int. Wall Finish V W
No. of Units _ Bedrooms i
COMMERCIAL
State License No.
? 3-01 da ll e R
Ind. Ins. Acct. No.
57///7(
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information Sind is correct and there are no other structures located on this property except
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
t'6, /977
Date
Your street address will be
Sewage Permit Number Issued Building Permit �/tp�?
Remarks J • /
DO NOT WRITE BELOW THIS LINE
The zone i
Receipt
Form 523 Bldg. Code