1977, 09-26 Permit App: M3478 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 40:=
GENERAL REQUIREMENTS
PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ear
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.
RATER. 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 PROM 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 OP 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.
Name of Owner
Architect
APPLICANT FILL IN BELOW THIS LINE
���,�// �7 .51 it uL -9 90-o_ /6
/
Address / / 02 S 30 �Lli Q nl_ phone 9 —/•T/7
Address Phone
Engineer D Address Phone
ContractorX7 .-i44.G Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 3354t/ -90Q /
,.o r. /3LK 5 "t 1,J -icy GAd
DESCRIPTION OF WORK: New X A
Size of Lot 90 x/50 /
cc��
Stories -Si Dimensions .2/7x/).2
ddi tion
Remodel Moving Bld . Zone / Fire nne�-.
MOTH//N /j A,`� N/tN/ Sewage System J4DA.(�-�� Const.�r�"'� '
rr (Fr., Conc., Br., etc.) a
a 2x.Q 4 'Z /? DECK Total Sq Ft /6 8 a-, VnI,,ation
� F
Rooms / Batha Basemen
Fu I. part. none
FA Type
Heat. System
Use of Bldg.
t -
Foundation Const .)icesE Chimne ir.. y plac
(Kind) ,O (Numj�er
E , Finish //—/// Int Wall Finish /�J�t��''f'�L
o of Units _Bedrooms
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.
K
41
ikt
Q
NORTH
/J`D/PA
Ind. Ina. Acct. No.
RESIDENTIAL 1 COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Q
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Malted
I hereby
as shown.
SOUTH
nation ,submitted is
'Omer or Agent
correct and there are no other structures located on this property except
9-c2.4-77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address w111 be
Sewage Permit Number
Remarks
Issued
n '3 y7 The zone is.X2.f
Building Permit Receipt D O 89 Issued
Form 523 Bldg. Code