1977, 04-12 Permit App: M0653 Residencey
County of Spokane, Wasiudgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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
Rind 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 wore
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
Name of Owner f�lc•.? .13/4•C K,c��O, C'rnr5 L 14/e Address b'4' Cc'ii.N bm- /ck •Siv 7 JL d#/Phone ' 3, -.2 5,/
Architect
Engineer
Contractor S/tf:'t
Address _5 144",r, it L is h Phone
Address 11J11J g9.2a y Phone
Address Phone
Legal Description of Property (Give complete description from deed,
tax receipt, etc) /Jgrd c / E; S 4/_2 — /yt, 7
Lor 7 /3 /j y Eia l 'J 061.4/N A /fid 17', o•✓
DESCRIPTION OF WORK; New x Addition Remodel Moving
Size of Lot 100,0 / )k /a 5..;4c ' X 8n,!) r)' X J n.5: _3 C / Sewage System
/ / /
/C �',. oral Sq.
2" 1/ Foundation Const C.OiV 0 /' e'• 7' e_
Stories 3 E Dimensions
Rooms _LL._ Baths Basement
Fu 1, part, none
Heat. System i•/ c• '/i Type of Roofing
Use of Bldg. /3"i ',A -Pe- fee S r dc'iv f, 0 I
,51,1 le f9Mr /",
C1 t-4 h Ext. Finish ./7! - //
er40.4/ C ciNd c!- Dee K • ,i✓i 5!, etc,
revs
4.2a'.kr,r'H
PLOT PLAN
Bldg. Zone/ Fire Zone -4
/ I Const.
(Fr., Conc., Br., etc.)
Ft. /9--2-2' Valuation1%
Chimney
ti� �' // fireplace
(Kind)��-� (Number
Int. Wall Finish D/'y
No. of Units _Bedrooms 3
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. ��"^�►
m
NORTH (RESIDENTIAL — COMMERCIAL
5e M-tAc. h e d
I hereb
as shown
SOUTH
State License No.
ALL -
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Peiuiit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is co. fct and there are no other structures located on this property except
A'LAND USE OR T C
THIS IS NOT A PE MIT.
Date
/-/—/ — 27
URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
1i t
Your street address will be ,s7 -.ri
Sewage Permit Number Issued
Remarks
F",4(). • The zone s
Building Permit /A •96,5:" Receipt At, V Issued
>z,1�
Form 523 Bldg. Code
1
Gn nA6 c.
At Sc
.APPIOX__I3' a iD
Spl.1r LE'V L.
EL EJ 151 FLIM' }r"
ovr
FILY PLAN.
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