1977, 03-31 Permit App: M0914 MHC® ntokane®ash t®n
9
/ BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
✓/ APPLICATION FOR LAN® USE OR STRUCTURE PERMIT o�a
GENERAL REQUIREMENTS PERMIT FEE. -------------
PERMIT
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erecta 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 pater 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
Name of Owner 7il -0 el c d AIC •. Address 9—,30 Phone e)E4 76
Architect Address Phone
Engineer Address Phone
Contractor 5 14y"-7 -e-_ Address Phone
Legal Description off Property, (Give complete description from deed,, tax rece�ipptt,)etc.)/
Lri+ / J �Q c' O Yl�/ i f dJt9� Cis % vS'T !1 / i' %i�l� e� -
DESCRIPTION OF WORK: New l Addition Remodel Moving Bid . Zone - Fire Zone 3
Size of Lot � % ��{ / ,S Sewage System onst.
rFr., Conc., Br., etc.)
Stories Dimensions % / Total Sq. Ft,_ Valuation /Z1,000
Rooms ��
Baths Basement Foundation Const.. Chimney Fireplace
(Full, part, nonce— (Kind) (Number
Heat. System 'C=:`` TypeeA/°f Roofing + G'TrL Ext. Fin
10%.4,1Type,,
Int. Wall Finish
Use of Bldg.y,� No. of Units_ Bedrooms
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 RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certi s ' formation submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
AN DO NOT WRIT ELOW THIS LINE
Your street address will be F'wA
The zone is
sewage Permit Number Issued Building Permit Receipt Ek�!L Issued
Remarks
Form 523 Bldg. Code
LT- it .73/6,c,k 9 2).3)-74410e,i
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