1977, 04-01 Permit App: M0344 Residence'
Canty of Spokane, Washbaagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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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 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.
APPLICANT FILL IN BE OW THIS LINE
Name of Owner
Address
Phone 9a,P /3sy
Architect Address Phone
Engineer Address _ /Ph
Contractor (��
Address Pi- VAP 7 EA-0104;Phone J., X-/
Legal Description of Property (Give complete description ro eed, tax rgceipt etc) , -T 0'
ont
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DESCRIPTION OF WORK: New V ddition
Size of Lot
Stories / Dimensio7ns 6
Rooms / Baths Basement /7/.(/n
RemodeldeMoving Bldg. Zone / Fire
a1 J 0 Sewage System oo s T' Const.
X T to Sq Ft Valu
+ Chimney Fire
(Kind)
inish �� Int Wall Finis
C (Full, part, none
Heat. SBIdgrr�y�YPe of Roofing
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
., eta.)
�
oni �Vc. v.&'
laceoZi
tuber
No of Units _-Bedrooms
ESIDE�ft NTIAL 'COMMERCIAL
rn
rn
y
I hereby cer
as shown.
SOUTH
State License No.
Ind."I- ,n's. Wcct. No.
REQUIRED
Plumbing Perm
m Heating Perm'
N
• Sewage Permit
motion su..niitted is correct and there are no other
L%i�Cr�A—
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS HOT A PERMIT.
l9-ri_4iJ7 //�J
Your street address �/vill�be `7' moi(1 1 / /�<- dn,' The zone ism'
Sewage Permit Number Issued Building Permit, Receipt y97 Iss.ed
Remarks
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tructures located on this property except
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Form S23 Endo. Code
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