1977, 08-11 Permit App: M2799 Demolition Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT j
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.
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.
Name of Owner ' Address es 2�a'
Architect Address
Enginee 4e Address
Contractor Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Phone
Phone
Phone
Parcel Number &V7: o
DESCRIPTION OF WORK: New Addition— Remodel Moving Bldg. Zone Fire Zone
Size of Lot o� X _ 3 Sewage System �FonsCon , Br., etc.) �
Stories DimensionsTotal Sq. Ft. ( Valuati Q
Rooms Baths �Chimney
_dl �e�Bt Foundation .�mney3repacFu part, no
(K n Numbe
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. 1�L ZL— -*' No. of Units ..Bedrooms �
6- 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 ter supply lines.
l � NORTH State icen a No.
I
.r
SOUTH
Ind. Ins. Act. No.
ESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify_�nfor do submitted is correct an there are no other structu es locate on this property except
as shown. /
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
of DO NOT WRITE BELOW T IS LINE
Tour street address will be Ai The zone
sewage Permit Number Issued Building Permit Receipt Issued
Reurkli !
Form 523 Bldg. Code
LE JV RATE AS =SSD /AL R
�. uA ;vN EwP .RCEL
E L Z-` IN DOLLARS 0
PER l C0 LA' ,S. TO -AL
CODE ` NUMB-
�S 1C4 FL R� 24.840; 2CC0 ir''•QI 3E:3CI4G4T�24541-9001.
GREENACRES WA 99016 -,-x N'-,, CEE'z'r ,. EXE'..." --SD °, ct SPECIAL Ev'ES z
i-SSESSED __- ,-,E2,.;:-.E.:Y8 .N ?CCORDA:NCE R.C'W.`84 s� d
NC TICEIF NAVE OR ADDRESS IS ;NCORRECT
Fnln FIRST AM. TITLE
LE
/,'; fG <-----------PLEASE PR,..\47 N THE CHANGE. ,--
u—
•
Y__CuR ;AX DOLLARS WILL BE DISTRIBUTED AS SHOV N BELOW
STATE SCHOOL NTY CO. ROAD CO. Ei3111 TOWN5C OOL DIST cRE D''ST
714 8 7 1°3j 4857' 1
CEaE?ERY_ sT.I wA-ER DIST SEWER D15T.
MAIL STATEMENT w;th
CHECK or MONEY ORDER to
DQN W BRO',<y
5pokene County Treosjrer
BOX 21 c5
SPOKANE. WASH'N,7,-CN 99210
EXAMINE STATE.VENT
TO AVOID
PAYMENTS ON WRONG PPO ERTY
EAR
1
De'ingLent Tax as of Nov. 1, 1976
ExEµ7. REAL E3 -A'1 =s %A'aQE wEED DIST.
3yI
C(±
TO'uL TAX
g141
MEM=
WEED DIST.
TOTAL
INTEREST
z
�FPAY.'�ENF1771
4 5 71 (1
D
,10
i'j
z
a-.
.
Ln
3
L >ii
z
WHEN PAYING ANY DEL NC NT TAX - CALL 456 30
The Lego; Description Of The Property ( PR ' ;R D RD „ v\ T �R CCS _CT
4 25 44 PT CF NE1/4 OF '4F 1c I
1/4<0;_--G 390PT S OF NEC•p,. ,_,rE�.__ ,�:�. ._✓ �.R ��.l:�v�T G LK
OR OF STi 73—C -T -P7 T STPL,ARR R/W
TH WLY ALG NLY LN OF SD R/W 137,5FT TH N PAR WITH EL CF SEC