1977, 10-27 Permit App: N3915 Residencedilly of Spokane, Wash gton
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 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 4
HaAddress ;hone Const. Co.. N. 5309 Sullivan Rd.. 992 ho 47 5 928- 6
Name of Owner ne
Architect Same Address Phone
Engineer Address -. Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Lot.1Rl„ Blk. T of Midelome Addition, Spokane County, Washington
DESCRIPTION OF WORK: New x- Addition Remodel
Size of Lot 85 X 150 , ,
atG X6, z /
Stories WEDimensions IA Xs -j- /7x.27
Rooms 6-) Baths 2 Basement Part Foundation Const Poure
Fu 1, part, none)
Heat. System Elec. B.B. Type of Roofing Asphalt Sh'. Ext Finish
Residence: , L ecthetactirt
Use of Bldg.
PLOT PLAN
Moving Bidg. Zone / Fire Zone 171 -
Com u it ,,,uA
Sewage System 1:1- (Fr., 771-
Const,
Con., etc.)
.tan E-Ebtf 4 000
Total Sq Ft Valuation 3.
d conc. Chimney/ 4444(Kin2tireplace 144€EZZV✓
Dry(Numberall
Hard. B. siding Wall Finish
No. of Units l� Bedrooms 4
9 finished basement
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
CR€SIDENTI COMMERCIAL
I hereby ck
as shown\( V
State License No.
HA-NS-DC,*257PU
Ind. Ins. Acct. No.
367-089-)0
OK ow F/.CE
REQUIRED
•
Plumbing Permit
wt Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
y informjiti su witted is correct and there are no other structures located on this property except
�L4..+:•UJ - /4-Q7-7 7
Ownerr Agent Date
A LAND USE OR STRU TORE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6)A2,"741.442-0DO NOT WRITE BELOW THIS LINE /' ,
Your street address will be )2, ,'j 2 / 7 13,pAA-.L
e zone is dA .J,C1�Ylll.
Sewage Permit Number Issued Building Permit Y Receipt 7D9$ Issued
Remarks
Form 523 Bldg. Code