1977, 04-06 Permit App: M0423 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N..811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 51
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.
NATER. 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.
ACCORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTIICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the and
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
�( APPLICANT FILL IN BELOW THIS LINE 6'4 qq2g
Name of Owner 56,1'[2W 4'2 4'1 �k T Address`�� v "MPhone 4' «ZZ
Architect Address Phone
Engineer Address Phone
Contactor met". Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc) peR% " �r.r _5 -
LclTinSLI< 9 s e,o r -a
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Sewage System56'PW1-• Const. i'194 6-
/t 0 (Fr., Conc., Br., etc.)
Stories Dimensions 2X461 22x2¢ CILtzQ� Total Sq. Ft.Valuation 1‘14:10
Rooms 5 Baths Basement P.UL-t— Foundation Const G'Ot,IGy2�'F b'Chimney Fireplace 2
Full, part, none (Kind) (Number
Heat. System , ' , A. Type of Roofing �- I-:AICSE''a Ext. Finish 5 ' r, -.1 t.,) GI Int. Wall Finish 1D12' WGI.L•
Use of Bldg. .e 1 f:Pv >.rt�N7 U't j t) 1.11SI-16.1) No. of Units _ Bedrooms
Tyr `t--,
Size of Lot J 2, UL.1AIZ
PLOT PLAN
Draw ske"(ch 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.
m
N
NORTH
RESIDENTIAL — COMMERCIAL
I her
as shown.
SOUTH
State License No.
;A- i2- 1(- 2SK'R
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ify informa�.n bmit d / garrect and there are no other structures located on this property except
74.1
berr
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(5, - 7 ---
ur street address will be ci '/1,
Sewke Permit Number
Remar
DO NOT WRITE BELOW THIS LINE
(1.---A-4—!L.4-4.4cH1.— C.!"
Issued
Building Permit
Form 523 Bldg. Code
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L -OT IO 51.-K 2