1977, 08-30 Permit App: M3087 Residence0
APPROVED AS NOTI
Spokane County Bldg. Code D
County of Spokane; WashingtonDate —3c —77
BUILDING CODES DEPARTMENT. N.811 JEFFERSON, SPOKANE. WASHINGTON 992
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APPLICATION
'APPLICATION FOR LAND USE OR STRUCTURE PERNI-11
GENERAL REQUIREMENTS PERMIT FEE /Y 7b'
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
.ind or alter any building or structure already erected, or to change a land use. Construction must conform with the
pokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
ATER. Water supply must be approved by the County and State Health Departments, Where work on water connections disturbs
he 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 47235.
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.
pJ� ;APPLICANT FILL IN BELOW THIS LINE
Name of Owner (t? £t - l Zgare.9 ( — - Address Phone4t9' 6&37
Architect Address 99a0 9' Phone
Engineer Address Phone
�
ContractoroL -- Q $°aw.,
rec.r.leirry Address n-6 en Phone 4/8-4/8-7-a-‘(3,?6C�
Legal Description of Property (Give complete description from deed. tax receipt, etc.) Parcel Number 09' 5-4/ a- -/ -7-/ a
,d l - ! � a ocy,U1i/L 2 --
DESCRIPTION OF WORK: New L— Addition
Size of Lot RC '
Stories Dimensions
Rooms Baths '0t F
Heat. System /4 -17./ /S Type of Roofing
Use of Bldg.
Remodel Moving Bldg. Zone ( FireZone--
/ e d' Sewage System ,C -/- onst, / v -�„ �-
{Fr„ Conc.,�pBr., etc,)
J F >L y O Total Sq Ft / 74"/ Valuation,4� 3�+r0 o
Basement U�/ Foundation Const CO n>o%Q Chimneyl�-�C+) Fireplace 2
mull, part, no el �f (Kind) /n"� (Number,a
xt. Finish `/ Int. Wall Finish b/�/
�/ No of Units_Bedroomms y�
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
SOUTH
I hereby certify informatio.. submitted is correct and
ap sh•.n.
't
State Li 71e No.
Ind. Ins. Acct. No.
RES TIAL COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
ner or f-nt Date
A LAND USE OR STRUC RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES;
THIS IS NOT A PERMIT.
p JJ,yoRp DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number Issued
Remarks
Building Permit
1'be zone is +' \-LA______ 1
Receipt 95-47 Issued
Form 523 Bldg. Code
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