1977, 05-17 Permit App: M1340 ResidenceCounty of Spokane, Washi
ROVED AS NOTED
ne C my Bldg. Code DW.
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WAS -II
APPLICATION FOR LAND USE OR STRU
GENERAL REQUIREMENTS
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 1s 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 -+ i� Address 2 % - •' : ' • Phone -6"416`53
Architect Address Phone
Engineer �� Address Phone
Contractor ''.7(‘",k3074 IYrF'►''eic Address on 1.06'-0/69
333"4/— /
Legal Description of Property (Giv d pl t "description fropifitinid, tax receipt, etc.)
oecrv41 /2 257k .2 /77:Jf/eio&
Parcel
Number
DESCRIPTION OF WORK: New x Addition Remodel Moving
Size of Lot 8.'. SJ X /so Sewage System Se
Bldg. Zone Fire Zone
onst.
(Fr., Conc." Br., etc.)
ValuatioSJc117
S` Z: Dimensions .. r / - ' '
Stories /
/ c C X / '�
Rooms 6 Baths / Basement F, // Foundation Const Co.+c"rr '
(Full, part, none f�/f Sr j/ L
Heat. SystemEYec'trk 88 Type of Roofing �+fspit.X,`o!e Ext. Finish %rk 4tik-�2/2
Total Sq. Ft
Use of Bldg.
Chimney Fireplace
(Kind) (Number
Int. Wall Finish -5't^/rk
No. of Units _Bedrooms Z
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
m
Y1
I hereby certify i for tion submitt is corre and there are no other stru
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be �l (�7 7—
State License No.
Ind. Ins. Acct. No.
5l
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ctures located on this property except
/7 17 /C? 7
Date
CONSTRUCTION COMMENCES.
The zone is' )j A
Sewage Permit Number Issued Building Permit Receipt ,,,3‘.5'/ Issued
Remarks
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Form 523 Bldg. Code