1974, 03-31 Permit App: M0912 MHo
Cor
llmty of Spokane, Washington
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.._ _30 -rte
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 47235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
le st 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
ATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
nd 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 .....311D1.1 90d r✓ �/i! Address __11Phone
Architect Address Phone
Engineer Address Phone
Contractor 5<t9 -0-n a Address Phone
ro2Ae o o
Legal pDescription of Property (Give complete de cription from deed, tax receipt etc 1
II" / /Jfoc_t' Ion cuocici Enst
Fi _ C07nt
C._
/..---
DESCRIPTION OF WORK: ANew /Addition Remodel Moving
nig. Zion Fire Zone
Size of Lot /0 / S Sewage System/
onsts
o� v /� YY (Fr., Conc., Br., etc.)
Stories Dimensions A Total S Ft `-.2 �' 0%. CTC C
q �� Valuation
Rooms 5- Baths T Basement
Full, part, none) Foundation Const. 13for 1L Chimney Fireplace
/ ,t (Kind) (Number
Heat. System a/�e',� Type of Roofing 'Lje' 1 a / Ext. Finish Int Wall Finish
Use of Bldg. //r l /C /-6nic_, c7S .7 /^c S, Ofekr o-- No of Units _Bedrooms 2
PLOTPLAN
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.
a
NORTH RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
.4
Plans Received
Plans`Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify i e 'ion submitted is correct and there are no other structures located on this property except
as shown. Lit
Owner or Agent Date I
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT yWRITE BELOW THIS LINE
ur street addrea will be /7 3fj/ A _DonWcfc' CJ The zone is A A
wage Permit Number Issued Building PermitEl
�1 :2- Receipt Issued
marks
Form 523 Bldg. Code
4
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