1977, 11-14 Permit App: M4117 Addition1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992
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 stricture 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 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 t ; nforce covenants or dedications.
Name of Owner
Architect
ac
Contractor
Engineer
Conn trTactt or L
APPLICANT FILL IN BELOW THIS LINE
Address
Address
Address
Address
c77JYL.C-
Phone
Phone
9 /4hone
f,
Le I Description of rty-}hive comple ascription from deed, tax receipt, etc.) Parcel Number �/ % c�7 J.cat - 0/2-- 1-
� % �_ / ! — �* Z 6 -24Z..„0(43 -2.12, -de -as -e -/-—
......A
Phone 9,26 / - 3
DESCRIPTION OF WORK: New Addition Rem del Moving Idg. Zane
Size of Lot
St ie _ imensions X .3o art, non'iRooms_ Baths Basement
art, non
Heat. Syste Type of Roofing G Ext. Finish
Use of Bldg.
C--ti� I a
Sewage Syst
Total Sq. Ft
Foundation Const
Fire Zoi e
Const.
Fr., C
Valuation
Chimney — Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units —Bedrooms
PLOT PLAN
raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
ed buildings; (4) distance to prgperty lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
I
RESIDENTIAL - COMM RCIAL
REQUIRED
Plumbing Permit
nr Heating Permit
D Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/° a SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
slaN: shown
Ow. or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NO RITE BELOW THIS 7f/-90/LINEE/
Your street address will be / //2e zone is (.�C
Sewage Permit Number Issued Building Permit
Remarks
Issued
Form 523 Bldg. Code
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Pio/ P/9/47
oome_ Ave_ l 690/
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45 \*.1
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6 Pq 0 ,
0
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Pio/ P/9/47
oome_ Ave_ l 690/
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