1977, 07-18 Permit App: M2447 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building for 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 47235.
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.
`J Sr/ APPLICANT FILL IN BELOW THIS LINE p
Name of Owner �l4ba+-'r V12i e h1 of Address L�-��-`�t / k//es`�>' phone /�-? 00�'
Architect Address 99a /6 Phone
Engineer Address Phone
Contractor C. .. . 0 -
Address Phone
Le•al Description of Property (Give com•I'to description from deed, tax receipt, etc.) Parcel Number//1_.30'3"--S'/- J'lili/
DESCRIPTION OF WORK: New /7.c. Addition
Size of Lot sc 3'- 2aa'X it C)
StoriesrLT Dimensions
Rooms Baths eZ- Basement /-U /'!
(Full, part, none)
Heat. System
Use of Bldg. / 2 �y
Remodel
Moving Bldg. Zone / Fire Zone
Sewage System Ca i -- Const. F o* -s-+%-
(Fr.. Cenci. gr., etc.)
a'�/ x.///J Total Sq Ft /7J-6 Valuation' '-'j 900—
c' e n r 1 -P -t- Chimney Fireplace rD. /CL-,
(Kind) (Number n
p �- Type of Roofing ,� o xt Finish / // Int Wall Finish -y1 c
//I R... n. 4 S, O .s t _15 l
Foundation Const
4 ac --•-7 22No. of Units _Bedrooms ,
• (PLOT PLAN
property, lines; (2) street or road locations; (3) location of existing and
lines sad streets; (5) dimensions of buildings; (6) location of sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH . -a
H
I' b�
S3 - 17- \
SOUTH
I hereby certify information su itted is corfbct and there are no other structures }orated on this property except
N
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
et Heating Permit
Mi
• Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
as shown.
?hi
Owner Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be C' -C4' The zone
Sewage Permit Number Issued Building Permit d ' Receipt
Remarks /
sued
Form 523 Bldg. Code