1977, 04-07 Permit App: M0477 Residencet
Canty of Spokane, Wash iigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT'
GENERAL REQUIREMENTS PERMIT FEEO)d
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 mast 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.
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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
A�PLICANT FILL)IN1BELOW THIS LINA L.l -•`-
Name of Owner ' CIJ(�.cr n� - a.r-(-herr-.e.Address
!1- � iJ � !i, - � •�' Phone `'f'+t
Architect �J Address - !. . 9C -t4 'ri."(i " Phone
Engineer (/ Address /1 Phone
Contractor( (2.-r 1''. & Address _ Phone
L 1 Description o,}vr p y (Give comple a ascription fr m deed, tax receipt etc) ' (.14( 3 3 5 9'3 —9'0 :,-V
L c A4
with the land
DESCRIPTION OF WORK:LNew Addition Remodel Moving
/ 37 �7L fr- /(o r � � `f * - Sewage System
Size of Lot
Stori Dimensions 3O )(TAD /U X,/ 9- a' 14- 2--* Total Sq
Rooms Baths,, Basement Foundation Const Rey y _eA 5
(Full. part, no --/-
Heat. System ype of Roofing ,. .a _ Ext. Finish / . //(
Use of Bldg. te,,re-elaff-ka
/0 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.
BI Zone / Fire Z e 3
CConst. . Br. et` -
'Fr., Con Btl r., etc.) 6
Ft` '�/'��`'�/ ValuationSs4 . noo�
mney .
(Kind)
Fireplace-
Chi(her
Int Wall Finish
No of Units _ Bed/Zoms
NORTH
RESIDENTIAL - COMMERCIAL
oz4 P --ger ear
SOUTH
State Licqnn No,
1 �
- / - _ AX -61/1"
Ind.: In). Acct. No.
577
REQUIRED Si x17
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
uc .r.C)
I .
I hereby 9-rtify information subn correct ere are no other structures located on this property except
;shown. War / // / h
vp c..�, IP A z� as ,.. t I 1
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
/YL 1444, ettile
Your street address will be
Sewage Permht Number Issued Building Permit
Remarks, .CQ.,
DO NOT WRITE BELOW THIS LINE
The zone is
ayfgec(eipt
G..0 6.-zife(Cy....„
TO
•
SHEET 4
19
{f
TO THE DIRECTOR OF F %ACM ASES, A. F. E. COMPTROLLER'S u':.___ __._._.._..._.._ -f
THE FOLLOWING ARTICLES ARE REQUIRED FOR RAILWAY COMPANY'S USE. AND SHOULD DE DELIVERED
AT
SUPPLIES WILL SE FURNISH= ONLY UPON THE WRITTEN REQUISITION OF THE HEADS OF DEPIRTMENTS, AND THE OFFICER MAKING THE REQUISITION MUST STATE FULLY AND
MINUTE/ WHERE AND FOR WHAT PURPOSE THE ARTICLES ORDERED ARE TO BE USED. IF THIS IS NOT DONE THE REQUISITION MUST GE RETURNED FOR THE INFORMATION
ITEM
NO.
QUANTITY
DESCRIPTION OF ARTICLES
ESTIMATED
COST
DELIVERY
REQUIRED
(DAYS)
FOR WHA-
PURPOSE
ORDERED
'®
ON HAND
AND DUE
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