1977, 03-29 Permit App: M0212 ResidenceCt.anty of Spokane. Washnegton
BUILDING CODES. DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE -OR STRUCTURE PERMIT 0
GENERAL REQUIREMENTS PERMIT FEE.S$
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 onwater 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 -RACK 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.
r STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be'obtained pertaining to set -back and ingress
and egress.
.✓ fOUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work mCh-L-ra
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
9qo/�
Name of Owner 444 e e %rrr p '<-e r Address Pei t3 - 9 7 C.toe-.�n r , . , Phone 9719-/ 9G' z
Architect Address Phone
Engineer _ Address Phone
Contractor ,0. Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc 1
i- 'D r .n 7r) Ad -
/hi j2— .r7T,zF/
90 �7
DESCRIPTION OF WORK: U av Addition Remodel Moving Bldg. Zone a. Fire Zone 3'
Size of Lot RO ry P 30' Sewage System slot. 1- - Const. rrc
(Fr., Conc., Br., etc.)'
Storie3�((''�� Dimensions -;t ( X ¶O �a� Total Sq Ft a 6, �nyr�• Valuation <1 `).--,_new" °-)
Rooms 9 Baths -1 Basement Foundation Const eoN e 0 r I`> Chimne,r tr)4� Fireplace 2
(Full, part, none 1Kind) (Number
FQ. s/<, . -F Type of fing S - - • Ext Fin. Int Wall Finish �7t-•fl1 f
No of Units 1 Bedrooms 3
Heat. System
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
PR
In
NORTH
PLOT/ PLAN
property lines; (2) st
lines and streets; (5)
RESIDENTIAL
eet or road locations; (3) location of existing and
dimensions of buildings;' (6) location of sewage sys-
- COMMERCIAL
SOUTH
I nec r / fy in tions witted is
as shown. (/'f (/
correct and
State License No.
Ind. Ins. Acct. No.
REQUIRED
?
EQUIRED?
Plumbing Permit •
Heating Perini
NSewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other struct res located on this property except
Owner or Agent
A LAND U E OR STRUCTURE PERMIT MUST BE ON THE PREMISES
THIS IS TA PERMIT.
A -77Y
�c'/ 7X
Date
BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Perini
1 -
The zone
Receipt
Form 523 Bldg. Code
PURI"IIR 1WI1tRPRISBS, INC,
General Contractor/
BOUTH 2010 BLANK QOM]
PHONIC OOm•106II OPONANK. WASH. 00010
5
wr