1977, 09-14 Permit App: M3309 Addition•
County of Spokane,. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
t GENERAL REQUIREMENTS PERMIT FEE
Pet.:1a,REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind rIr 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 orditches 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 47235.
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 to enforce or dedications.
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APPLICANT FILL IN BELOWLTHISTLINE 9p
Name of Owner f'I,/.L/ ez__ Ce Y Address L- . /n 2 U to eo'�C'e" Phone
Architect Address Phone
Engineer Address Phone
Contractor 'OAA J a AIN e/Q 2AddressS' .2 a 0 Y Vat&, Cu-tr OR, Phone 7.2.2 —A /G V
Legal Description of Property (Give`mplete descriittpn fro deed, tax receipt. etc.) Parcel Number S1 —
/v, /vv ' / . sJ..) o' A), ado /o/ i- . or; X,'f e.,,,,et Std
DESCRIPTION OF WORK: New Addition � Remodel
.Size of Lot �541 P et 2Zy0 2'7
Stories Dimensions /d ' �\ /
Moving Bldg. Zone• Fire Zone
Sewage System Const.
u r.. Conc.)r., etc.) ri i
Total Sq Ft?` / Valuation 7 41'Z a
Couto Pet % Chimney /6/071^-•- Fireplace
(Kind) (Number
Int Wall Finish .0R f' C H
No of Units Bedrooms
Rooms yBaths. Basement, o/VL— Foundation Const
Fu I, part, none)
Heat. SystemQ7Type of Roofing __�-• Ext Finish
Use of BldIdg..Q. r/Ol � ten/ rt tw✓/1-Q��
//r
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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.
NORTH
SOUTH
I hereby�c ifyy1 .rmation submitted is correct and there are no other structures l000c/ated on this property except
as show 7l. �U ;'r 7 /
or Agent•} - Date
A LAND USE OR - CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
State jic r. No.
Ind. Ins. Acct. No.
RESIDENTIALO M M ERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
in • Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Tour street address w111 be C, /e.2 .2 Q 6 The zone is
Sewage Permit Number Issued Building Permit 33d? Receiptfri J7J Issued
Remarks
Form 523 Bldg. Code