1977, 12-29 Permit App: M4496 Residence, Renewal of L6975•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, 'SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �" ,y
a"
GENERAL. REQUIREMENTS PERMIT FEE
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 BuildingCodeand Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on eater 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 toenforcecovenants or dedications.
/ �j�APPLICANT FILL IN BELOW THIS LINE
Name of Owner _ .E444.444-14-24/ Ah.!/ .2ZI5.4 (4..N "V 'V i Address
6O
Phone 9.26, -24. -24 -
Architect Address Phone
Engineer Address Phone
Contractor yell 0,4414f./.....- Address Phone
Parcel Number 2.3'23-i/
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
( o T /f mit- _3 . J2 4L f-c2.tA' G
DESCRIPTION OF WORK: New Addition
Size of Lot 9O X At
Stories*Dimensions 2 1. X
Rooms - Baths /Baseme
F,. I, part, nt none
Heat. System
Use of Bldg.
Remodel Moving Bldp Zone / Fire ne
Sewage System ,rfZ dd'L Const. ---- Bir., et
Total
2 K2' a Total Sq Ft /5 I� `�� }/V,all atio
Foundation Const �c Chimney/"""'^"' 'replace /-4441-tett
(Kind) 9 (Number„�
Finish 7 /�/-/ �/
No of Units .Bedrooms —
A Type a
�//+ Type of oofing
Ext Finish %/// Int WallX.
PLOT PLAN
Draw sketch with dimensions showing: (I) 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
de... sato9
fi;tbe�n7e A__ C-%� rdj
SOUTH
I hereby i411 in motion s
as shown.X
- COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1%mid• is correct and there are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PER
THIS IS NOT A PERMIT.
Date
MUST BE ON THE PREMISES. BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be _I . 67 2.
Sewage Permit Number Issued
Remarks
i. is.. A -hst.,0.
B'ilding Permit
9
zone is X 1./.4:60 ,.� zv -
Receipt ///R Issued -
Form 513 Bldg. Code