1977, 01-19 Permit App: M4627 Residence W/GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.-5/ -----------------
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a, building or structure of an ,y
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 Eagineer'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.
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APPLICANT FILL IN BELOW THIS LINE 9) 9 6
Name of Owner r V 4. F. i 1 L& ( (j L2 V, ( Address, . %O 2tir d'c -R ati
9 G,r 5 6;
Architect Yeti e, Address. Phone
Engineer i' Address
Phone
Contractor
Phone
Legal Descripti `% �� — 0
A plat of the N h A of West � of tract 120-of -
Vera Spokane County 'Wn »,v begin III corm• Rat .
Tract 120,11 south 25 ft thence eaist 9� !t to true
point of beginning thence east 96 ft 80Vft 232
DESCRIPTION O ft 'Nest 96 ft north 232 ft to pcdnt of I �_ Fire Zone
Size of Lot - -- - — - - - -- - - - - -- 'Sewage System For.
��`��` " """"" t�ir'r/�c lrj�jZ (Fr., Cor Br., etc.
Stories ' Dime erns L X ? l� /� % Total Sggf: 5'9'y -- Valuatio n
Rooms Bath_ � Basement Fo ndation Const.. Chimney Fireplace
Full, part, none � GeGttt.✓ (1 (Kind) (Number
Heat. System CSC% Type of Roofing 44�it�Ext. Finish " Int. Wall Finish
Use of Bldg, z t "Yl E < No. of Units 1 Bedroom
Draw sketch with dimensions showing:
proposed buildings; (4) distance to pror
tepi and water supply lines.
s
M
N
I he
as shown.
A LAND LfSE OR
THIS IS NOT API
(1)
C
PLOT PLAN
operty lines; (2) street or road locations;
nes and streets; (5) dimensions of buildings;
(3) location of existing and
(6) location of sewage sys-
RESIDENTI COMMERCIAL Sttate License No.
[ Ind. Ins. Acct. No.
QD
REQUIRED
Plumbing Permit
PIN
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH - �DSc__�l i 7J
'o mation submitted is c r n er.'tructures located on this property except
WN
r
r Agent �� OKANE, WA. 99206 j! Date
I TORE PERMIT MUST BE ON THE PREMISES BORE CONSTRUCTION COMMENCES.
C/ DO NOT WRITE BELOW THIS LINE
Your stree. addjesi will be
Sewage Per it°- Number
'Pt L>~
Issued Building
h i _T_ -
zone is 0
Receipt / -T6 Issued
-I