1977, 03-28 Permit App: M0182 Residencer
Canty of Spokane. Was gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 011-
PERMIT FEE `)
GENERAL REQUIREMENTS
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 Yy10
Name of Ownbs%�t'�
Architect
E
ngineer
Contractors 4.—
Address
Address Phone
Address Phone
Address / Phone
description from deed, tax receipt, etc) J CJ 60 G
Description Description of PropArty (Give complete
'/(1 -
DESCRIPTION
//f),
4
Phone -( }- " f 3
DESCRIPTION OF WORK: New Addition Remodel
Size of o 7Otdr X ir.. 9r ,�L
Stories ( Dimensions .2 c— `k 3, I / n — (-Lx--i, -I
Rooms Baths 1 Basement LL Foundation Const
(Full, part, non }�
Heat. System s-�)_t, Type of Roofing a_oExt. Finish 1 — I I
Use of Bldg. of
Moving Bldg. Zone / Fire, one .._-
Sewage
Sewage System 5--/—ont.
(Fr., C
/� Total Sq. Ft I `pZ iValuation ��
` ei . Chimney Fireplace ()
( ind) Q (Number
Int. Wall Finish 6C
_ei
PLOT PLAN
Draw sketch Edith dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No. of Units _ Bedrobfns
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) local on of sewage sysMEM=
-
RESIDENTIAL — COMMERCIAL
SOUTH
I hereby certify i ormati n submitted is correct and there are
as shown
Owner or nt
A LAND USE OR STRUC RE PERMIT MUST BE ON THE
THIS IS NOT Al PERMIT.
Tour street address will be/ 0 /(� Q
Sewage Permit Number
Remarks(9'i ..�y�yv` t. 4
DO NOT
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located this property except
(-
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
RITE BELOW THIS LINE
r
/� (, The zone is _�
Issued Building Permit "I�Q/p y Receipt SO ( 1
ssued
/60. 0/1 r 77 Q). (3. I (�
Form 523 Bldg. Code
/06
/09
R
;1_
INANSAM A TITLE INSURANCE COMPANY
V/ 803 SPRAGUE AVENUE
ySPOKANE, WASHINGTON 91201
,r i"= nurpsse of assisting
e-r.�r).rany assumes no
:cns and
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