1977, 06-07 Permit App: M1762 Residence(
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 42.00
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 •itb 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 moat 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 sbbuld 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 Pontme of Owner Highview Arrea, Tnr Address- -. _ Pri773-4221
Architect Tndum+rial T)raf+inv c AddressL. 9510 Firm+ Phone 9,A-7755
Engineer `T+.>,, ., , %kJeow++Address one --9-51jmiefleA,Z-ISJ'
Contractor RohPrt Pio1mP AddressPt-..2,Br 1%3' Phone 773-42A1.
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Lot 26, 81nrk 2 M1di1rime's Arial tint, to Spokane County, Wash.
DESCRIPTION OF WORK: New Addition
Size of Lot
83.50x150
Remodel
Stories 1 pimensions 26x44 w/ 22x22 Barg.
Rooms 6 Baths 2 Basement full
Fu i, part, none)
Heat. System FAE Type of Roofing composition
Use of Bldg. family residence, w/22x22 garage,
Foundation Const
Moving Bldg. Zone 1 Fire Zone 3
Sewage System sewer Const. frame
(Fr., Conc., Br., etc.)
Total Sq Ft 1585 Valuation 42,700.00
concrete Chimney mason Fireplace 1
(Kind) (Number
Int Wall Finish Drywall
No of Units 1 Bedrooms 3
Ext. Finish T1-11
residential
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-
ten and water supply lines.
NORTH
attached
SOUTH
Lorre and
State License No,
223-01-8698
Ind, Ina. Acct. No,
2316-00-36761
Ins. of Wausau
REQUIRED
Plumbing Permit Bold al Meeh.
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property
June 7, 1977
except
Owner or Agent • Date
A� LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be cr/ . d S . /3a, L
Sewage Permit Number
Remarks
Issued Building Permit
The zone is.4161 e1�/at.
Receipt& sued
Form 523 Bldg. Code
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