1977, 04-12 Permit App: M0649 ResidenceCounty of Spokane, Washongton
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.
^QIaYrY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work-miis. 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 1s 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 Li//pp FILL IN BELOW THIS LINE
Name of Owner
;mid r.F,�. 44 te .lreAddress 4'o&Ja'n h ft Afd S/0% /lOt✓Ari Phone 23t
Architect Address crignNe/ `t23 �%%70y Phone
Engineer Address // Phone
Contractor 54,/6 Address n Phone
Legal Description of P operty (Give complete description from deed, tax receipt etc 1 Plan / /6 o2&5 92 -
Zttt 2 U1, .. / EAR I y DRAM ADOIT]oN
DESCRIPTION OF WORK: Newt X Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot
/3,2, 50 X lit/SO' x 13,2 505( IIS riOtsewage system t;er fre, Const. rr.atvr-
C-r--21IR., Conc., Br., etc.)
StoriesSDimensions J3x3o '
.„xP/X 20- 1/1X /1,+ Ott' k Total Sq Ft /e1 �. Valuation z./y' on
00
Rooms7) /
_ Baths FullBasementrne) tt 1/ Foundation Cons[ ne NO/'efr Chimneyf'%A5r`n'ApyFireplace b
(Kind) (Number
1 - 1 / Int Wall Finish Ory W411
No. of Units Bedrooms '3
Rae A00,.44-• 64se./ero r '
Heat. System ELee T 14 Type of Roofing �Ct eM
Use of Bldg. P/ -111A -fl- Q�G i/Iew td/-1�AMAe
® J
Ext Finish 7
I. NCI r DNt; 1<
:vts h eel
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
ESIDENTIAI.= COMMERCIAL
See 1)t1-»ehca
SOUTH
I hereby ce
as shown.
State License No.
tilt OA/'F/LS
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
iw Heating Permit '
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nd there ire no other structures located on this
—/ —2
OwA_ nt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON E PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
property except
Your street address 1,111 be / 9OJ _ i F' frc. The zone XA.4c±
is 1.G fk7.( '>v112C+
Sewage Permit Number Issued Building Permit .4?0 ¢ Receipt (964f Issued
Remarks
Form 523 Bldg. Code
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