1977, 04-06 Permit App: M1331 Residence W/GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1-6"--4 °r
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 mast 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 . /i1/ i'h. r, (/ TJ �� �T I Q Address
Architect Address - _ Phone
Engineer Address g9.2 Phone
Contractor /9/6 4)6. / Address Phone
Legal Description of Property (Give -c�o)mplete de scription from deed, tax receipt, etc.) Patel Number
r; r / 2 , [J O G /� �H � ge 661 G r1.1% 11— re-, r Ss r —
PD .e rro%t/ 6 0: (-1 7
DESCRIPTION OF WORK: New y Addition
Size of Lot .. /2.e E7
c' '� D S--5p/17--
ories _Dimensions
Rooms _ Baths Basement /1 Foundation
Fu I, part, none
Heat. System E, /T r9 Type of Roofing .�i/4.x
Remodel Moving Bldg. Zone / Fire Z e
Sewage System -SfC PTY Const. Z
0 (Fr., Co c., Br., etc.) vu
/ Total Sq. Ft 22 2 O? Valuation 3 DOO
Const f / O /VC" € T E. Chimney ReX K Fireplace 12
/ (Kind) (Number
Ext. Finish (.l)G 0 .v Int. Wall Finish :f// � C .,% r3 //
No. of Units LBedrooms .-
Use of Bldg. /i'GA4E 1,42f»i74C /)
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.
NORTH
tr4 c_
m
State License No.
/
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit 1 2 2
Heating Permit /2/ .4 f
Sewage Permit (2 ,4 4/( /
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify urination ubmitted is correct and there are no other structures located on this
x-77
as shown.
Owner or Agent
property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7r 13} DO NOT WRITE BELOW THIS LINE
Tour street address will beeliifil C C, >1(24 -L�j,
Sewage Permit Number Issued rl Building Permit
Remarks
The zone is ir'C .GZw
Receipt Issued
?j'.'71D
Form 523 Bldg. Code
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