1977, 03-23 Permit App: M0285 Residencea*nty of Spokane, Wasmgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT f(/2 G 00
GENERAL REQUIREMENTS PERMIT FEE r�vv
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 2ormed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingret land 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 /Cj-n nriS X 5I-0 r/o .I Address iti. /7,2,r fe/IS Nei c/ Phone 901 SI" p7Oa
Architect �D Jf�� p� Address Phone
Engineer �7`1 0--µ"`"""1 Address Phone
Contractor /o m. n c /iii 5 / p '-'-o S' /•QS Address- C(' 9cy Sp✓ -°_y,, Phone 9-21----‘5-515-°
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Lena! Descry tion o Property (Give complete escrrption from deed, tax re ipt etc.)
J fr/y�%O.o-,.Az' AC / vi - ricoo✓_ .
DESCRIPTION OF WORK: New ✓ Addition Remodel Moving Bldg. Zone __./— Fire Zone ..�
Size of Lot /7/, �1.A-_ ,v4 / Y / L 7 ' ,L Sewage System 3 1- const. Fr(Fr Conc r. c�
Stories / Dimensions ay X5 -6/j` •r Total Sq Ft /34/7 Valuation E 27 0
Rooms Baths Basemen none J� Foundation Const (° st c AOS- Chimney Fireplace -(1'
Fu I, part, none) _ !� ('• �J (Kind) (Number
Heat. System Type of Roofing C• A .-.2 in Ext. Finish WV - -I..I� ��
�-� /`�` / // �.rj Int Wall Finish ci✓�
Use of Bldg. � a�Xpnse,6-p/-- O�c�f �C,?, ,Ja.s / No of Units Bedr ms v.
(D'p -Lai) a) 4 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.
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in
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NORTH RESIDENTIAL - COMMERCIAL
_J < 96 �7
l67'
O o b
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
N Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
' Plans Picked Up
Plans Mailed
I hereby certify informati submitted is correct and there are no other structures located on this property except
as shown. /j n
Owner or Agent D to
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
£L- 'PPt ® DO NOT WRITE BELOW THIS LINE
Your street address will be Ft / 1 7 0 7 0 O O n a / The zone is
Sewage Permit Number Issued Building Permit y "' Receipt
Remarks (/
Issued
Form 523 Bide, Code
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1/31-0066 7S/