1977, 03-24 Permit App: M0091 ResidenceCanty of Spokane, Wasagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 7
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.
/ • APPLICANT FILL IN BELOW <THIS LINE 940 (
Name of Owne Ln/t/./ [ 0?1/'/�f1C;tM'sr tA/ - Address /7Z` �l5 et n� Phoner:24- 5-6 % A
Architect Address Phone
EngineerQ_ Address Phone
J
Contractor 0`-r.+.t
Address ' .c c./ Phone -.-40:7-°9c-e--
Legal
:7-°-
Legal Descripti of P o erty .IGive complete description from deed, tax receipt, tc )
lAt 7- �cit/D - FAN/ 2 Tac/ /C /4/7 -ti: g�e
SizeCRIPTION of Lot ,'>' ' K�J wy /J VA,t qn
Stories ..,LDimensi% ns --
Rooms 5 -Baths / Basement
�/� (Full, part, none.
Heat. System RA ftO/ Type of Roofing
Use of Bldg.
Remodel
Moving BI Zone / Fire Zon�
/ �1 Sewage System �-+ onst. hQ
(%xd� ! i -x )4 eitc a'L q. /c3 Val t rfc�, Br., etc. -
�� Total 5 Ft Valuatioi qT��
Foundation Const F X4 - Chimney '' Fireplace
Ext. Finish
(Kind)(Number
Int Wall Finish -bit
No of Units i Bedrooms le
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 o sewage sys-
tem and water supply lines. -
.0,
NORTH
RESIDENTIAL - COMMERCIAL
I hereby Cer y information
as shown.
�vr
Owner or Agetit
SOUTH
submitted is correct and there are
Ind. Ins. Acct. No.
REQUIRED
11//
Plumbing Permit
rn Heating Permit
In
N
y
Sewage Permit 1/4 -Gr 1 1/744
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
372-YI77
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit/nNumber
Remarks v17 Pit:27/
Issued
DOT WRITE BELOW, -T
Date
BEFORE CONSTRUCTION COMMENCES.
LINE
Building Permit
The zone i
00 Y / Receipt /________'Issued
Form 523 Bldg. Code