1977, 12-07 Permit App: M4370 Residence, Renewal of M0477Coiinty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE % C
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.
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APPLICANT FILL IN BELOW THIS LINE
Name of Owner ��,,,
:air = Address o Phone i
Architect Address / - _"leeallrfAr Phone
Engineer Address Phone
Contractor .-200-4.-,...-/ Address chi",`j`� Phone
Legal Description o Property (Give com lets escription from deed, to receipt, etc 1
flo-r -z,9/ c33,s"-y-r- 9oay // �`{
DESCRIPTION OF K: New I�� Addition Remodel Moving Bldg. Zone 1 Fire Zone v
Size of If 0 g...1 -..i / 3 Si#y1 tg /6,r SL i Sewage System - -i wf Const. -�- 1—
o'e-0-t C / +� // (Fr- Conc.. Br., etc.) ar
ories_Dimensions 5Z))(3� °C 27 .? Y / Total Sq Ft /77/�r1.,,r Valuation fZ', 000'
Rooms Baths Basement Foundation Const Chimney Fireplace
H Fu 1, part. none �-e ll in (Nutire
Int Wall Finish -�/'
No of Units L Bedrooms e3
Heat System Type of Roofn
Use of Bldg.
Ext. Finish
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
m
NORTH
COMMERCIAL
`e ` n c947/
SOUTH
'I hereby certiormation submitted is correct
as shown.
(3) location of existing and
(6) location of sewage sys-
State Liere No.
Ind. Ins. Ac/5t. No.-
//1
/
REQUIRED
//
Plumbing Permit 7 , q
Heating Permit 64--4,
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
- /.z- ` 7,
ner or Agent Date
A LAND USE R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,�_„ 11 „ „ DO NOTWRITE BELOW THIIIS/LINE D
""` Sewage Permit umber �.L/./` (12-/ 31 The zone i /'-GC' r
Your street address will be lie 9 //
Building Permit J\/ 11 Receipt li�i IO Issued
Remarks
Forin 523 Bldg. Code