1977, 04-18 Permit App: M1387 Residence# 218
Coanfy of Spokane. Washrinjfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 46.00
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 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 99206
Name of Owner W. R. S. & Assoc INC Address SO. 326 Pi PIPS R. Phone
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legit) Description of Property (Give complete description from deed, tax receipt, etc )
LOT 19 Block 19 Early Dawn 2nd Addn.
Portion of Parcel # 26543-9018
928-3380
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone �_ Fire Zone '3
Irreg See pot plan Sewage System septic onst. frame
�Fr., C
Size of Lot
Stories6 1
Rooms Baths 2 Basement
Conc. Br., etc.)
offsetsgarag%
Dimensions 65 X 31 including & tal Sq. Ft 1763 Valuation 41,950
Full Foundation Const Concrete Chimneymasonryireplace 2
(Full, part, none) (Kind) (Number
Int. Wall Finish DrywR11
No. of Units_ Bedrooms 3
Heat. System Elec Type of Roofing Comp Ext. Finish Frame
Use of Bldg. Angle family Residence w/dble att garage
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
RESIDENTIAT (COMMERCIAL
See Attached Plot Plan
I hereby certi
as shown.
SOUTH
informat'on submitted
is correct and there are
State License No.
Ind, Ins. Acct. No.
REQUIRED
Plumbing Permit Steve White
rn Heating Permit Wayne Smith
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except j
4/18/77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be D _ r� (1,,./ The is
Sewage Permit Number Issued Building Permit� Receiptzone X, Issued
Remarks
Form 523 Bldg. Code
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LOT Iq 1 pLOGR 19 , EARLY 1A/N 2M ADDN
PLOT PLAN