1977, 04-06 Permit App: M1150 Residence1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
• 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 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 onwater 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
Architect
Engineer
i
Contractor pvi'1 s<
Address
Address 971) E,// _/ 9EP .Zt
Address
Address
Phone
Phone
Phone
Phone
71.?-5-3-0°y-
Legal
1.?•S"3fl
Legal Description of Property,(Give complete descriptiyn from deed, tax receipt, etc.) Parcel Number
JS/oarnr�, / Yn,e.r,//7E9voAar /fir
g P7i941 e% A"R.PCf/ X F3 cY.� 9D02V
DESCRIPTION OF WORK: New 7 Addition Remodel
Size of Lot /3 x 3/a' (.T,La of sc./A./cc)
.3��1r`r id ii ?%' 1
St6ries _Dimensions
Rooms (o Baths -2 Basement & // Foundation Const
_(Full. part, none ((''
Heat; System ET f. r4 , Type of Roofing r,);{r //
Jge of Bldg. //v, � tp A./ Th
rt/ c A4 P A ink' A/1
lj1('� .:44 .P%t,Wa.L PLOT PLAN
Moving
Sewage System
Bldg. Zone Fire Zone.
-.rfrOcorm, r,'C Con, r.? 9 n F
// (Fr., Conc., Br.. etc.)
/y Total Sq Ft =2.2.2 /)po Valuation '-� 3 4n a
( a46 -e f re Chimney 8R1c4 Fireplace -7
77 (Kind) (Number
Ext Finish /4,i o.\ Int Wall Finish/ cb:4 a/41/
No of Units1Bedrodma 9
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.
-f
H
NORTH
/2 77;4 c &' t 2
40 -
SOUTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
-REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify inforMtion subptftted is correct and there are no other structures located on this property except
as shown. 1/ (//'/
✓el , An.7i/.
Owner or Agent O Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9 -AL. 144,40a).. DO NOT WRITE BELOW THIS LINE ))
Your street address will be 4/ 4) r-7 }I, /�/r— C1‘Lt1„[Z, / The zone is ?(J taiete c .2tvw .Q,Q,t_,
Sewage Permit Number Issued Building Permit IV' 1/ FIJ Receipt ,F.c7d Issued
Remarks
1
6-77
Form 523 Bldg. Code
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