1977, 08-30 Permit App: M3086 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 onwater 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
Hiway, clearance must be obtained from the County Engineer and/or State Highway Department. fi
A9C�ESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
%EETRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the. laid_
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
//st7=N 2/ +�APPLICANT FILL IN BELOW THIS LINE
Name of Owner iS t a G — ?< ICn aJ`Address
Phone 9k 9.-5-6 .9'
_ Architect Address Phone
Engineer _ ` ,/ Address Phone
Contractor Lor,. /.'o-. r.-? �' K5�e� Address - 6/ 3- C ., Phone '/fr9- ` 3cY ti
Le��jal �Descriptionvoff Pnropertx (Give complete description from deed tax rreceii/pt, ce�tc.) Parcel Number (`5' 9 CA" 9—i - /a/3
T.r„/� / p, - 12g,w-. A. '1 iYG i_.22 - ._m O l'�" 'SL Q
DESCRIPTION OF WORK: New Addition
Size of Lot R"O / ,x / s O
Stories'4-Dimensions r ok-C+'a
Rooms Z Baths Basement ( c' // Foundation Const
9Fufl, part, none'
Remodel
Moving Bldg. Zone / Fire Zone
Sewage System S T, Const -%�-¢ -•y
(Fr., Conc., Sr., etc.)
Total Sq Ft /7.9 Valuation,39�f3
TQ Chimney (KI a- Fireplac,Number .,
Int Wall Finish
No of Units _.Bedrooms
Heat. System 1=4 �
Y ype of Roofing
Use of Bldg.
CO n c ro
xt. F
i
ish
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
afa
SOUTH
I hereby certify informat ,j-, submit ed
ass„ n
State L,i.Genge'No.
Ind. Ins. Acct. No.
NTIAL' "COMMERCIAL
REQUIRED -r;='
Plumbing Permit
nr Heating Permit .,
X,
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located
on this property except41
Owner
A LAND USE OR STR
THIS IS NOTA PERMIT.
gent . Date
TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be //91 < (Lc: su
Sewage Permit Number Issued Buildin6ait
Remarks
3a&
C-
e zone is 710 -?/"G / 647'4
Receipt_ Issue
Form 523 Bldg. Code
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