1977, 09-14 Permit App: M3327 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201'
. APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1
GENERAL REQUIREMENTS PERMIT FEE /
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 onutter 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 9
Name of Owner .4C.taxar je `17.- 'H a en -Address ^_'
Architect Address 'Y'-�cir�.0-..� Phone
Engineer //'' ,, �/� Address Phone
Contractor Wz. It c ea --,........y— Address ‘...\26--sen..-‘2- - Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number e2 /o satin,- 300 /
3 oo /
1/
Phone C3S-76
Lot 1 /3/*' /7
E 4 <- / y DteaAi,4 al dn-
DESCRIPTION OF WORK: New ' Addition Remodel
Size of Lot r R -Y/39
WAV
StoriesrR.LID imensions 24){S�0 ' et
Rooms Baths / 3/y Basement ?` Foundation Const COIL-
Heat.
o/LHeat. System '.G„4 • T pe of Roofing C� /fig
Moving
Sewage System
1Y %'fll^A;tom Total Sq
FuII, part, none
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem ar,,, ater supply lines.
NORTH
Ext Finish / /, //
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Bldg. Zone / Fire Zone 3
.5', 1`fA..” cony. n,/d.
(Fr., Conc., Br., etc.)
Ft /I)2"-- Valuation 13` .9d 0
Chimney ((iireplac nd) (Number
Int Wall Finish TX 41.-er froc/t)
No of Units _Bedrooms 3
v
SOUTH
State License No.
vel
Ind. Ins. Acct. No.
ESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
-t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
7/7/77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
9a shown.)//,Q
Tour street address w1i11 be oC I /,j
Sewage Permit Number Issued f Building Permi
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is _
Receipt 9B$fIssued
Form 523 Bldg. Code
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