1977, 12-06 Permit App: M4349 ResidenceV
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT OU
-1 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 mist conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 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 LINE,
Name of Owner Address\. -.C---- -- ne
Architect �`7�20: �' i Address �/.o �' A r it Phone
Engineer Address .cwt, 99c'D,3 Phone
Contractor Address (/ phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Q 3S /-- 'Y 304
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone
Ks' X / ,Q .�Sewage System G Const e, etc.�+�
(Fr., Co Br.)
Stories Dimensions Dimensions /6 X 074 -2 Kolar
�?' Xo2 /q��Total Sq Ft,7/may/ Valuat /J 000"Rooms _ Cflatha / Basement Foundation Const 72---4
_i i'c-, Fireplace
(Full. part, no (Kind) (Number
Ext. Finish T /77 Int Wall Finish /��� it.r 322
- -� No of Units —Bed ms a
Size of Lot
Heat. System
Use of Bldg.
Type df Roofing
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 wter supply lines.
NORTH
State License No.
OX
Ind.
Ins. Acct. No.
RESIDENT {AL - COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
in Sewage Permit
~
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
L ,/J / 02/6/7 7
OwnsOwn
A
Agent -se' Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
DO NOT WRITE BELOW THIS LINE
4.4 ..i
Your street address ill be /3/e)
Sewage Permit Number Issued Building
mit
The zone
Receipt
1
Issued
Remarks
711
Form 523 Bldg. Code
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