1977, 08-30 Permit App: M3085 ResidenceCounty of Spokane, Washington
APPROVED AS NC
Spokane County Bldg. Coc
Date d --c7
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTOIU{9201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE Nki
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a bui ding or structure of any
kind or alter any building or structure already erected, or to change a land use. Construct on 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 eater 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.
AC ESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. ti
TRICTIVE 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 (t gr4, �J ec Address 3-4/ D- r fj6,_ `i/
Phone
Architect Address Phone
Engineer Address Phone
Contracts ddress 2-7,/ phone 6 3 c/
O 9'5 -4/a -/a -j -
Le al Descriptions off Property (Give complete description from deed,. tax receipt, etc.) Parcel Number
DESCRIPTION OF WORK: New ✓Addition
Size of Lot5- o ' .X / ST)
Stories �-7O',yQ/� Dimensions 0-82Rooms --f — Baths Basement j�a //
Full, part, nona1
Remodel
Moving Bldg. Zone _/ Fire Zone
Sewage System i onst. flfn-o-
(Fr., Conc., Br.. etc.)
4,e7 � Total Sq Ft 7-41-4,/ Valuation
Foundation Const (' o
i PChimney �SnrY Fireplace
n D (Kind) /n (Number//
t1� Int Wall FinisfD�/11-,-.-.9
No of Units Bedrooms
Heat. System Type of Roofing 1{'��G7� ExtF�+ish
Use of Bldg. n _ep 2 s,, !
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 aad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
74,e all
as sh
SOUTH
I hereby certify informati.n submit
ifillrara0_
Owner
A LAND USE OR ST
THIS IS NOT A PERMIT.
m
N
y
State License No.
Ind. Ins. Acct. No,
RESIDENTIAL
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structure: located on this property except
Agent ate
TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE /
Your street address w111 be
Sewage Permit Number
Remarks
11.43/47 GD
Building Permit
Issued
e zone is A-1 6
Receipt 95-47 Issued
Form 523 Bldg. Code
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