1977, 10-17 Permit App: M03775 ResidenceCounty 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, 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 andwork 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 LINEtezi
I%Uy
Name of Owner -99t'.-4- ' g1/4.4 -tet/ Address ± • 5/0517 G —' Phone"
Architect Address Phone
Engineer Address Phone
Contractor '�I�-"�-� Address
—��
Legal Description of Property (Give complete dpscriptio from deed, tax receipt, etc.) Parcel Number
X r v I /VA. / 42 a!A2 ._' ic:444r a 2—
(97r7 2- //0`%
DESCRIPTION
DESCRIPTION OF WORK: !toy '" Addition Remodel Moving Bldg. Zone 1" Fire Zone
Size. of Lot X / )c / ?Z
,
V c/ p
Stories _Dimensions c, ^ (o t /a ' X �- ...).-20x "2 3 �V
Sewage System per' / fiti Const. lr� gip'` `C
.. .� / ' /t0 r., Conc., Br., et 1q_��yf V/
Total Sq Ft Valuation y�x �>•-/
Cd �' ctC e ' �'�_ Chimney �ft"1'�'/`Fireplace
(Kmd) (Number
Ext Finish /%Q'Ois'/C.' Int Wall Finish /-2A'7
et I 1--z-/ No of Units4..Bedrooms _3
Rooms X47 Baths —_,____,/ Basement! `"/
_
(Full, part, none)
Heat. System4-17,A • Type of Roofing
Use of Bldg.
Foundation Const.
Co
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
Fr'?P d x9R
NORTH
PLOT PLA
Property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
N4 StSL—Lr—i` ..2j) u
Ind. Ins. Acct. No.
RESIDEN A — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitte 1s correct and there are no other structures located
as shown.
Owner or Agent
on this property except
/0-/7-77
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 (—E7 // cd/.Z 1/Lra(,r,L.L. 63F'
Sewage Permit Number Issued Building Permit
Remarks
e zone is l $& f
Receipt6?/ 7'Issued
Form 523 Bldg. Code