1977, 03-23 Permit App: M0173 Residence•
iy to
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE SISI
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
SpokaneICounty Building Code and Zoning Ordinance. Construction is subject to inspection.
iTATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
LL''he 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
Name of Owner Whit t^h r Aaa ST tt.s-C.Tl,t-S Address 101[4 ti t� .w) QS C4oj Qto Phone 4'?446`�Z-Z--
Architect Address ., Phone 0
Engineer a 9
Address 11t Phone t
1
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Lot CO (Ij\or.k Z \,.icum L_1: OroOITtort
DESCRIPTION OF WORK: New _— Addition Remodel
Size of Lot
1 q0 $ tie
Storiesmensions 62
plaa. T PeRr-2-7s4/ -0919
Moving Bldg. Zone —/ Fire Zone
Sewage System 5(,• tt. Const. I'r
(Fr., Conc., Br., etc.)
Total Sq Ft i 5 S' Valuation '"I i 000
Foundation Const C a 4->nagsta Chimney Fireplace ��2
Rooms _ %1; _ Baths_____ -12 -Basement JS t9
Full. part, none)
Heat. System 1=A Type of Roofing
Use of Bldg. M.4S.A a...-�tv,x
CAwa Ext Finish Tvft
,.�. -, Cas,
Draw sketch with dimensions showing: (I)
proposed buildings; (4) distance to property
tern and water supply lines.
NORTH
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-
(KinSt (Number
Int Wall Finish cL..{..)r..o4-
No of Units Bedrooms '
9 8o ch F;4;44 ba'flv+A.1*
RESIDENTIAL - COMMERCIAL
I hereby ce
as shown.
State License No.
t.,.3Q0LpC z SSOI�
Ind. Ins. Acct. No.
OK o,v Fitz
REQUIRED
Plumbing Permit C--tSI ko'-L
m Heating Permit 5v., -t N.L-S
ft
Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tify information submitted is correct and there are no other structures located on this property except
Owner or Age t Date
A LAND USE OR STRUCTURE ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Mad
Issued Building Permit
U17)
The zone is
ice..-.•
Receipt /4t9(og Issued
7
r..r... SO1 0.1,,. M1.,.
S' APPROACH
EVERGREEN