1977, 08-30 Permit App: M3088 ResidenceY,
County of Spokane, Washin
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE,
APPROVED AS NOTED
Spokane County Bldg. Code Dept.
tai -.3a- 7.
BFjIINGTON 992
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
kind or alter any building or structure already erected, or to change a land use. Construction mast
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 .0F 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 LINE
structure of any_
conform with the
Name of Owner C o I / a rr7 kb) ,.,, r c (n n Cr f Or, ..Address , L / 1 F Let ,Aa c Phone 'V n- 3-439'
Architect Address 79.1-/o 7 Phone
Engineer Cnn S Trvc T. -O r) Address Phone
Contractor (.I,.STO.r Lin rri q T r r5 Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 0 9'' t/ 3 — /02//
DESCRIPTION OF WORK: New ✓ Addition
Size of Lot S'0 / .X / pro '
Storie
Rooms 4 Baths
Remodel
imensions -5/0 r x3-8
Heat. System
Use of Bldg.
Moving Bldg. Zone—I—Fire 77one
Sewage System S. 7- Dost. /-f rt -,.n -R=
iFr., Conc., fir., etc.)
Total Sq Ft Valuatio 0
orTi, imne ;_rnd1� Fireplace p -
It /77 (Numbs
nt Wall Finish( -,W --d
6 of Units _Bedrooms 1
LB se node) i 1/ Foundation Const
par
Type of Roofing �y
• I _. _ . _. _ l7%7l�'
('n
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines,
NORTH
Finish
'PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
ota ate,' Of
I hereby certify information
ahowq�_
Owner or Amt
SOUTH
ubmits correct and there
A LAND USE OR STRU
THIS IS NOT A PERMIt
State License No.
;);2 3_ a/ _co -ST
/Ind. Ins. Acct. No.
-C7, ///lT—
SIDENTIAJ) COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures/located on this property except]
�3 6/7
D
RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will t/e
Sewage Permit Number
Remarks
Issued B4ildfng Permit
The zone is 19.— I
Receipt ,5-2/7 Issued
Form 523 Bldg. Code
Ag
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