1977, 09-14 Permit App: M3284 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON' 99201
- APPLICATION FOR LAND USE OR STRUCTURE. PERMIT
PERMIT FEE GENERAL REQUIREMENTS
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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 mast conform ■ith 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 rater 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 �/72p�
Name of Owner A? 4_ � ddress telc) c3J 00/
J [o Phone V 6
t� ��6�/
Architect Address Phone
Engineer Address Phone
Contractor /(,/Q.Ger_07 u`y"yry4-
Address �/'+��- Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 2 e ,d 4ia - 3a 0 7
Lai 1 /Jive /7
R»/- Ly /v ,5),J, crewel Odd i.
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot.. ?2 Y //
Moving
Sewage System
Stories'&LDimensions S25 Y2? - aau.2-v 63a -J. `
Rooms _7.__ Baths Basement (If// Foundation Const
(Full, part, none
Heat. System ,c.L_ ,R 4. Type of Roofing Cd
Use of Bldg. e. --7.t 142i 1 -Ch
/C Y/V Sq
ck/,1—.-�
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Ext.-iFiiniish / 6MI//
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 supply lines.
Bldg. gone / Fire Zoneon.7
onst. IC'1 /Z Jil
�/ IFr., Conc., Br., etc.)
,
Ft A/O Valuation 37600
Chimney Fireplace `2—
(Kind) / (Number
4ry
Int Wall Finish aP-/t- °a/r'
No of Units Bedrooms
NORTH
ot/tIt'
SOUTH
I hereby certify information submitted is correct and there are no other
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
(41,14 44t,471
Your street address will be
Sewage Permit Number
Remarks
State Lipeyee No.
Ind. Ins. Acct. No.
— COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Date
PREMISES BEFORE CONSTRUCTION COMMENCES. -
DO NOT WRITE BELOW THIS LINE
/
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Issued Building Permit V)..tA $ Receipt y WS) Issued
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Form 523 Bldg. Code
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