1977, 06-30 Permit App: M2202 ResidenceCtr"nty of Spokane. Washlgton
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
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 to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE 2CJ
Name of Owner
Architect
Engineer
Contractor
Sc1 e
Address 2 0 J1 4 Phone
Address Phone
Address Phone
Address
Legal 9escription f Pro rty eG mcpl ttedes ipp from deed tax receipt, etc)
rl Z a% v�/,J V r O
DESCRIPTION OF WORK: New Addition Remodel
7/^i G ev,e.
Stories _Dimensions 3 o .� S-6 -,i'2ry
Size of Lot
Rooms Baths
Heat. System
Use of Bldg.
Basement _
I, part, none
Type of Roofing
Foundation
{
f� e c.CC
/c
Const
Moving
Sewage System
1dg. Zgne / Fire Zpae • l
Total Sq Ft
nGrr_TC'
Const. rd ,.-7 r•
(Fr., Coni, Br. etc.)
42- Valuation . o ea r
Chimney '''lC Fireplace
(Kind) //�� (Numb r/
Int. Wall Finish /)Py Gr/.4
No. of Units _ Bedrooms
'e' Ext. Finish
d c1Ced Cd, � e
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
CA
NORTH
RESIDENTIAL — COMMERCIAL
Jaelid e -le-
SOUTH
I hereby certify information submitted is
as shown.
correct and
Owner or Agent
State License No.
Av. �F'C-zss=i?,
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Tr / s /G/ '"i
Heating Permit
Sewage Permit i) i- )141- r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property
Date
except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
RITE BELOW THIS LINE
Your street address will be /
The zone is
Sewage Permit Number Issued Building Per i -7209-- Receipt
Remarks
Form 523 Bldg. Code