1977, 03-23 Permit App: M0171 Residence•
Q
County of Spokane. Washington
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, for 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 OP 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
Name of Owner C.0.90z-+ Cpm SriQiLCVO.J Address IOgg M 1PI rJ L5 9412D to Phone gt-14 & C2-2.
Architect It Address 't Phone tt
it rt
tt
Engineer Address Phone
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Contractor tt - Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc )
rt.o+ y 1, io C-14. - a LIDO .3 -F 4Wrr. cr-
DESCRIPTION OF WORK: New Addition
Size of Lot S a x II $
Stories Dimensions
Remodel
pAR. '7U- pi, R7--- .Z75-41- 69/9
Moving Bldg. Zone / Fire Zone 3
Sewage System 'a 4.t -fA& .., oast. r r .
(Fr., Conc., Br., etc.)
Total Sq Ft /6!(1) Valuation 4:114>00
ChimneyFireplace fl''
(Kin) (Number
Int Wall Finish t&nytiin"
No of Units 1 Bedrooms 3
Rooms _S_ Baths Z Basement1 __crap) Foundation Const CA-ao
(Full, part, none
Heat. System j P. 0, Type of Roofing CA kt...'l Ext Finish 1-‘ 11
Use of Bldg. Y.QS.d.a. r�.Q ls^. r41.... A 44 ca nCe I Q
YFV `
PLOTPLANV
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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.
•
ESIDENTIAL — COMMERCIAL
NORTH
SEE:
ATTf1C1-%E: 0
SOUTH
I hereby certify information submi e. is
as shown.
State License No.
Wtyu-ac t -So N
Ind. Ins. Acct. No.
OK ON F/h-4
REQUIRED�
Plumbing Permit ' JZ i S i Or.L
rn Heating Permit 5h. t4rn5
Mr
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
.rrect,'nd there are no other structures located on this property except
—2-
Date
2Date
A LAND USE OR STRUCTURE PERMIT MUST B ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Owner or Age
DO NOT WRITE BELOW THIS LINE
Your street address will be J� /Q'ii F,ii,v-/-U,,LP ,R4 The zone is >CIA li %ZU d6.B.0
Sewage Permit Number Issued Building Permit , Receipt A/61,ff Issued
Remarks /l�N))7h
Form 523 Bldg. Codo
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