1977, 03-31 Permit App: M0911 MHco
.,a
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
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.
RATER. 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 LIN�aE- �c
Name of Owner 42tno ."-- C d2 -s *-C-• Address 9.32•40 9 E �r✓W+y Phone 9.7.90 6 c' 0
Architect Address Phone
Engineer �7 Address Phone
Contractor .4z- n-ce Address- �Q // Phone nn
Legal Description of Property (Give complete description from deed, tax receipt etc) oura- sta. Imo
t. -
",29c.-6-,:&- Wei -3 ,.cr Gr4d- . ' d = U s -C 7
30e
structure of any
DESCRIPTION OF WORK: New ,../ Addition Remodel Moving Bld . 2one —L-. Fire Zone
/ Sewage System Cons Conc., Br., etc.)
Stories._/_Dimensions J� X cc' to Total Sq Ft 9a-
Rooms
a 0 �VFaluation 1 0 t, `' c^-
Rooms )----Baths Basement Foundation Const Li"vsr• Chimney Fireplace
Ext Finish
rc44_, No of Units Bedrooms
Int Wall Finish
�J
(Full, part, none)
t -/--Zai
_ (Kind) (Number
(6:114-C,Heat. System (6:114-C, Type of Roofing
Use of Bldg. 7Y/.� ii -'s,
Size of Lot 77 4' / 1 5'
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.
NOR• TH
en
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to
y
RESIDENTIAL - COMMERCIAL
SLesCc
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
wr Heating Permit
N Sewage Permit
- t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify igformation submitted is correct and there are no other structures located on this property except
as shown.
Owner o
Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS'IS NOTA PERMIT.
m� rq aa0 DO NOT WRITE BELOW THIS LINE
Yot street address will be )J
Se ge Permit Number Issued Building Permit
Retarks
The zone is %/_ !i f. 1
A� 11 Receipt 5/65—Issued
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Form S21 elfin. Lid„
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