1977, 04-22 Permit App: M0776 ResidenceAPPRO ED AS NOTED
Spokane aunty 'idg. Code DeC
Date
by
_;an-.
anty of Spokane, Wash'gton
S DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
ON 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
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 BELOW THIS LINE
Name of Owner H <"7KQ-'l/I D 1:.V--‘-> t I i.i /_ Address - :4C E - - > 2.17' -. 1-, :Y'Phone j 7'l{ i 7 11
Architect tOh/j� l,)n 67 I (tiL- , Address t IC I ' T7%J4.71-1-t tiljeikLIP- Phone
Address Phone
II Address g Phone .i
Legal Description of Property (Give complete description from deed, tax receipt, etc 1 i/ +`t -A- (. -V. .:1,-, ) "I'' -J =L
LOT- DEED V a �_ h _)___2-(' ev M 410 0 irk 0 U i IS, c e= -Ci -Z_ 1� S Ai 4...? 7-0 ?t,c
' ;
Engineer
Contractor
DESCRIPTION DESCRIPTION OF WORK: New x Addition Remodel
Size of Lot 'IT !'. I `1 rri1) `.> t�-
Moving Bldg. Zone
Sewage System "--',E:771, �-
Stories Dimensions �� X�t� rte'-�X'ami 1'')'JI >Ec- Total Sq Ft 1 5113
Rooms (_ Baths '' Basement/i K T" Foundation Const. (a"Cg l
(Fu II, part, nond)
Heat. System F% FL -Type of Roofing 4—AT' Ext. Finish "Cl
Use of Bldg. .1711 110 FC` o��(t-`[' ' 't'j t� l_t= �h' -/Y' ,
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-
I
Const.
(Fr., Conc., Br., etc.)
Valuation
Chimney t%AL..LL Fireplace
(Kind)gg (Number
Int. WaII Finish 1/L
Fire Zone
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No. of Units _ Bedrooms
ESIDENT COMMERCIAL
SOUTH
I hereby certify informationIsubmi
as shown.
State License No.
71:7:72-s- -7:3,
Ind. Ins Acct. No.
/ ,/
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tted is correct and there are no other structures located on this property except
rq1.41, it it wel, f iz%' AT u L i 117 -7-
Owne
eor Agent Date
A LAND USE OR STR CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(941 1O
DO NOT WRITE BELOW THIS LINE
Your street address will be .. j The zone is11'4
loTpeceipt
Sewage Permit Number Issued Building Permit IssuedRemarks
''c/
Form 523 Bld ode