1977, 04-07 Permit App: M0484 ResidenceCanty of Spokane, Washf gton
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 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 %i
Name of Owner eht1.tYr'Mn • .Wil&ann� osp Address
Phone ?d t/5;- /6i
Architect Address Phone
Engineer Address Phone
Contractor Address '/ Phone
H5 7
Legal Description of Property (Give complete description from deed, tax receipt etc ) / 7 3 a M 4
•
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 1) 0 X i.2. 0
Stories / Dimensions 24 X 3 4; ..6 A a N}
Rooms �_ Baths if , Basement G� Foundation Const `�r
Heat. System F» irc//K_�•�r�J
Moving Bldg. Zone Fire Zone 3
Sewage System S i� (Ft,Const .,BCInvc.)
'j Fr., Conc., Br., etc.)
Total Sq Ft i�1�0 Valuation {^nzr
Chimney Fireplace
(Kind) (Number
Ext Finish f/ "1/ Int Wall Finish «.rte-[/Q�Q
No of Units Bedr s
part, non /
Type of Roofing ,�C�y/'
Use of Bldg., /LZ2t ttn,-p a
ei/Lttr,
adif 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.
NORTH
ESIDENTIAL — COMMERCIAL
fro'
i•
SOUTH
State License No.
-//-77
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
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 o property except
as show
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
Crn keveft
A
Your street address will be r� �/V PQ,��/y—�' ��')!! The zone isn A"T
Sewage Permit Number Issued U Building Permit [� ALJQ?Receipt s S 4Issued
Remarks 1 r
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
7701 SLL 6?„,
Z--Bd � Coy
nod41-2,
p A
Vie PL.1
"Tell SSE)
11
r Cc coktot.e.
7x4
Last E%Ee.
2x 4
PLAN
,ik Peeiv000
ER si IE 7Zass
e twd' au.. E 06.6C
j2
�.� ice'
_le(__
15-0
-4
2K(o140`-da SO
Cv i eDEIZ. VATICi N4
7
11
ATWOOD • HINZMAN
CONSULTING ENGINEERS
PROJECT
TRUSS c 110 Ea1704
DATE 27MAI
ay
SNEET NO.