1977, 04-06 Permit App: M2169 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 •
APPLICATION FOR LAND USE OR STRUCTURE PERMIT do
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 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.
610tF LOADS. 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'Btate...
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 // in l . C �" /4f e, 47E1,1 Address T r i . Phone J7.� -,. 7,,er
Architect Address /2-709)/ d) C.r/ ,( 9Ka 7 q Phone
Engineer Address p.2 PP r Phone
Contractor .--ftrn,C Address Phone
Legal Description of Property (Give complete desctjption from deed, tax receipt, etc.) Parcel Number
A nr / Po it (J rtel' E Atli_ tar ',//
_Pe le es J o r ?iq�c Q.F / .Ee' ?? .1-Y9 9,2.zY
DESCRIPTION OF WORK: New /k Addition Remodel
Size of Lot re& E9PI/.q.p
�' /,'r &,ire
St6ries _Dimens' ns
So/l Y �%�
Rooms Baths - (FuflB separent/ (Ct.t( Foundation Const
F A Type of Roofing ....fAi„ Ext Finish
/? Y7-.4 l ,-e r A 7A -E_, 7 c
Heat. System
Use of Bldg.
Moving Bld Zone _L— Fire Zoe
Sewage System Const„0„,,,,c.
(Fr., Conc., Sr., etc.) vo
Total Sq Ft /7j 2 Valuation /nnn '
Cc.J� F r� Chimney I7t,C ”' Fireplace a
II
(Ki nd) (Number
ex. 0 0-z, Int Wall Finish/ �/F'(. �.r/A//
No of Units1Bedrooms --7 -
!7 £
.fiea 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.
US
-I
NORTH
8�4cHf
SOUTH
State License No.
OK
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit -t 'z 2
Heating Permit / /✓7Fn%rJni2i-
Sewage Permit l:-Kz/L/!/F
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mulled
I hereby certify in rmation $ttbmitted is correct and there are no other structures located on this property except
..rte �� ,,, « �- 77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as shown. (/ r
ow, -kpkt
DO NOT WRITE BELOW THIS LINE
Iour street address will be
Sewage Permit Number
Remarks
✓f /0j
Issued
- . 1111/9 -1,6 -co- e cru i
Building Permit
The zone is .Y -1,L
Receipt ett 70 Issued
s„�acrt /sed..
Form 523 Bldg. Code
Flo f lct` ►ti.
Coi B(cc/�.
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