1977, 08-19 Permit App: M2928 ResidenceChanty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE / a(
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.
tier
FILL IN BELOW THIS LINE
Name of Owner )F1 / ill 77 17 e4 s Y
Arch itecty° /.f rt
Engineer /
Contractor L �7 1 Ili (fa r/ o »
Legal Description of Property (Give complete description from deed, tax receipt, etc ) 1.0 r / f
GENERAL REQUIREMENTS
Address f,'1// s! %•r/7 Y^�. S/nL a .-'-.- Phone
Address Phone
Address 1Y.,4 3 /r� Phone
Address /.14 d $ f /C" i47a fla .�
(7;t /Is/
Phone Z/ i O
/K 3
v -5'`)-'//- /_2 3 %
r
DESCRIPTION OF WORK: New � Addition
Size of Lot / 70 r X f /x5 `/
Stories / Dimensions �C /( 6-/
Rooms / Baths -1 Basement ''
(Full, part, none
Heat. System i r #.8 Ty of Roofing
Use of Bldg. S "e "►`•
Remodel
,Q x 3z)
Moving Bldg. Zone / Fire Zone 3
Sewage System -5. A z✓ ,e- f Const. /" r .Z ''" `k
7/ �D (Fr., Conc., Br., etc.)
Sq Ft • 7. / V Valuation 9707,5101 C" 4-
ChimneyH4fr""''
� Fireplace
(Kind) (Number /
Int. Wall Finish '% J` Re (A - to,"
Total
Foundation Const
Con
Ext. Fi ish
LG
C41 a
N'o. of Units _ Bedrooms -S
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
oak
RESIDENTIAL — COMMERCIAL
r'!
SOUTH
I hereby certify informs ion submitted i
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFO
THIS 1S NOT A PERMIT.
j Plumbing Permit
m Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
State License No.
Ind. Ins. Acct. No.
3i,7 ;2e) 00-1
/2/aa/7 7
REQUIRED
correct and there are no other str
Plans Mailed
ctures located on this property except
Gy
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Building Permit
Date
E CONSTRUCTION COMMENCES.
The zone
Receipt
s ed
Form 523 Bldg. Code