1977, 05-24 Permit App: M1519 ReisdenceCanty of Spokane, WasIgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE..
EMIT REQIIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
nd nr alter any building or structure already erected, or to change a land use. Construction mast conform with the
okar..ounty Building Code and Zoning Ordinance. Construction is subject to inspection.
TER. later supply must be approved by the County and State Health Departments. Where work on water connections disturbs
e surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
WAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
T -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
ast 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
ATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
d egress.
UNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
rformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
VING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County<or State
ghway, clearance must be obtained from the County Engineer and/or State Highway Department.
CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
STRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
ich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
me of Owner � I"A,S , ,4#k/hJ Address M' 6_8_1 X 203 /Y�efel_ lftlb Phone
chitect Address J_ k C. Phone
gineer
mtractor Sa[17J
.7d6 -3roa
Address Phone
Address Phone
gal Descr�ticln o�� pertv1G�� `o�pl�e description from deed, tax rQceigt, etc
�f -- / ) filS/i-0/7 E.Sf4f� S
are e
U. V 44,2 -it/0
SCRIPTION OF WORK: New' X Addition Remodel Moving Bldg. Zivie /Fire Zone t_•
:e of Lot S5. /JC / 4 /X PAO I X X6 9' �' .) Sewage System 5907%C Const. � m G
/- Level / / 3X ,/ 1Fr., Conc Br., etc.) o a
Ines Dimensions +�+� X J�� �f X oZ �/X Total Sq. Ft a414'a Valuatio%SooO
oms g Baths ullBaeemeno� Foundation Const t�n�/^t-few Chimney' 41' "Fireplace 2-- '
�-/eG� p (Kind) (Number
at. System %j Ji Type of Roofing ,564 *Ct Ext. Finish Lsiteemo Int. Wall Finish dr/ii f // 0.7 'Y,
e of Bldg. 1-e 6 denif Pte, rC 2Z&f 4 o q) No. of Units _ Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
„At- ceteidet
sAera
SOUTH
State License No.
e./Me-LP-,41.36 L .
Ind. Ins. Acct. No.
0260 77
REQUIRED
!-
Plumbing Permit ez-sts'g-* .
n+ Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t
I hereby certify information submitted is correct and there are no other structures located on this property except
shown.
t /977
Owner or Agent
D
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
HIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
ur street address will be /{
rage Permit Number
marks
z)
uilding Per
C'Lljibe zone is
Receipt
Issu/� d2
orm 523 Bldg. Code