1977, 11-29 Permit App: M4280 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE '7`
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 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.
//��140VING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
ighway, clearance must be obtained from the County Engineer and/or State Highway Department.
*CCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
tn.TRICTIVE 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 ' • 6 / s �Yt s/ / Pt c it fir -/Address
Architect Address
Engineer 5-r,2 E -1-,-. ' c Address
Contractor ryr> Address
9y-2/6
F t.3-70/
Phone ! A`VE' ✓
Phone
Phone
Phone
Legal'Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number c2 -353/J .3 /o .3
L Z. S - Axz4 nn, rr cr%
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone `3
Size of Lot 9 Sj 2.
Stories / Dimensiors Z� $ 9 t a--
Rooms S Baths Basement LIn ic..- Foundation Const
Fu 1, part, none)
Heat. System [-L.A./3 Type of Roofing Ecrs-.4.-e Ext
Use of Bldg. - ,A.7 /r" �- �nAy
Sewage System -r- Const. F` iZ °
_ (Fr., Conc , Br., etc.)
()kc L (f( -'Total Sq. Ft /57=2 D Valuatiort34�y4'=''O
C. -a.A..=rte r Chimneydr7, Fireplace
(Kind) (Number
. Finish47-12,640---,;/_,7:i Int. Wall Finish 121/411-4/ /S'-�4/Lt�'
No. of Units jBedrooms 2
tip d t -e`
PLOT PLAN 'G/'
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 supD1.Y lines.
NORTH
I here
as shown.
COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
mat'ubmitted is correct and there are no other structures located on this property except
ft — -7
Date
A LAND E STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
ner or Ag
t
THIS IS NO A PERMIT.
Tour street address will be
Sewage Permit Number Issued Building Permit
Remarks
DO NOT RITE BELOW THIS LINE
The zone is
Receipt
Issued
Form 523 Bldg. Code
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