1977, 09-14 Permit App: M3285 Residence1
County of Spokane, Washington -
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ..__ ..(.2'
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 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
9c -la 17L
Name of Owner4t.0-0.5.9'--itl-w. Zef„t,-.Address 3 3ocl/74i C, Phone 6-30~76/P
Architect Address
Phone
Engineer Address
Phone
Contractor .22_2:21.1. /L Address •
Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 427,...J.6:4,- �0 rte_
Lo t, G 8//V / 9 S -RRL D /z cv,t,' S Fee A-,,4 4 odcJ.L.
DESCRIPTION OF WORK: New lAddition Remodel Moving Bldg. Zone 1— Fire Zone 3
Size of Lot Pei Y/0Z S,7`4
Sewage System Const.% <iMk
take/ fi y3 4 FFr., Conc., Br., etc.)��^
StoriesDimensions ,2vVsv 2Y'Y2y (i/;/ SqTotalFt /y -O '36—Gym
Rooms _2_ Baths 1 Basement Pak* Valuation ,
d)
c/ a Foundation Const Ct'o As fib -to 7np/ / '.-.
Full, part, none) Chimney�J1 Fireplace
Heat. System • T C o R.f ll Fin (Num
y pe of Roofing /1 - Ext. Finish / / /� Int Wall Finish S4 �P-t>` /fo
Use of Bldg. _d.A�l.rt/� ) �%/'j No of Units Bedrooms 3
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 "."'eater supply lines.
as
NORTH
SOUTH
State License No.
Q
Ind. Ins. Acct. No.
CRESIDENTIAL -COMMERCIAL
C=
REQUIRED
Plumbing Permit
m Heating Permit
in Sewage Permit
N
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
shown> t
Owner or Agent
7%Y/; 7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
60,24/ DO NOT WRITE BELOW THIS LINE
Your street address riill be
Sewage Permit Number
Remarks -
Issued
1 / - ' 4 14.a +-0• • zone is.
Eliding Permit j13tc Receipt 9.%'jsued
Form 523 Bldg. Code
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