1977, 11-01 Permit App: M3976 ResidenceCanty of Spokane, Wash!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 7'
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 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.
• dAPPLICANT FILL IN BELOW THIS LINE
er _
Name of Own -1 r— 1h 1 ,'1 - (A el:MCA fZ_ Address 157 n ' 1��^.t/ -Q� �� Phone CPC, rt42
Architect �,,(� Address Phone
`y]
Engineer £ ;r Address \�%IV v�� Phone
Contractor Address J L, Pho e
Legal Description of Property (Give complete description from deed, tax receipt etc ) 535 �u
1_
ci9
FRLot_k Z M2iCorncis AA,. Sr�nn.1> .Q nrAn-ro
Bldg. Zone / Fire Zone
DESCRIPTION OF WORK:New`' X Addition Remodel Moving
Size of o $(—, '1 Y 150
Sewage System e P , i4 • Const. I .1154191r
(Fr., Conc., Br., etc.)
Sq Ft /'/$ 2 Valuation Of/917
Chimney Kind) Fireplace(
Int Wall Finish op,/ 10,,, ( L—
No of Units _ Bedrooms 2,
Stories Dimensions if1.t0.0nctre 7OV2 n / 4 .a. �C'I(2 Total
Rooms] Baths %`? Bas ent%'% Foundation Const �n Ale•
1 Full' ar ,none'
Heat. System .-Ws. $ C. Type of Roofing C' Phn Ext. Finish J /1
Use of Bldg. S- ca tz,lr= ¶D(rtt p 1 Tp,• �¢C
81Ps'rulns..a�
%;40-7- s10ta 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.
EI' RESIDENTIAL — COMMERCIAL
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I hereby certify information -submitted i?drrect and there are no other str res located on this
as shown.
t License No
Ind. ns. A . No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
U/
27/ / /' '7
Owner or.Agen 7 Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
property except
Your street address w111 be SCO M
Sewage Permit Number Issued
Remarks
Building Permit
�4 / The zone Sq/J`'' /\
Receipt % Issued
Form 523 Bldg. Code •