1977, 03-23 Permit App: M0168 Residence0 • o
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE `P -fa"'?
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 C t Road
work
Performed in accordance with stakes. Points of ingress and egress must be a ° y c. Department and
pproved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved County
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
which are enforceable through civil action. County Officials can not
Name of Owner
Architect
Engineer Address
tt
Contractor Address
Legal Description of Property (Give complete description from deed, tax receipt, etc ►
on
a
must be
or State
or dedications and easements running with the land
bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
rr
Address i U t 'tet tV Q►N i> gg10..0 is
Address t'
Phone
Phone
Phone ti
it
Phone
ny Z y (WC 1 Z t_
DESCRIPTION OF WORK: New
Size of Lot
Addition
GtO 1013
Remodel Moving
Stories 1 Dimensions (.-.5b 2-4
Rooms _42_ Baths Z Basement Ir .,.5[k Foundation Const
(Full, part, none)
Heat. System Z Pk Type of Roofing 0.4a
Use of Bldg. r 525 c\ u r-:l�r1/4Q. .N
Bldg. Zone —/ Fire Zone
Sewage System -2 t1` .
3
I7��onst. F
(Fr., Conc., Br., etc.)
Total Sq. Ft 11011- Valuation '�I 3vc:ti
�..
Chimney'�.+ �-5-Fireplace
(Kind) (Number
Ext. Finish 1-1/41/41 Int. Wall Finish fL-,.1%.:r.StS..
No. of Units 1 Bedrooms
PLOT PLAN
14 1..)114..+4A. t.-4 101.1"T
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.
m
to
1
NORTH
RESIDENTIAL - COMMERCIAL
SOU TH
I hereby certify information sullwitted
as shown.
C )O
Owner or Agen
m
1
State License No.
too N
Ind. Ins. Acct. No.
e DAI F/C
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
-S
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
.3-- 23- 77
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /
j5A/ "aft
Sewage Permit Number Issued
Building Permit
1
The zone is . .f; w-!7
ic Receipt A/.4,19 Issued
Remarks
L.. 1 , B.
WOOLF A DDI ION
0
440 sa. FT.
20'
DAVIS RD.
9'
APrgoAcN `.
i