1977, 12-07 Permit App: M4369 Residence, Renewal of M0476Coainty 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 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 onwater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permit; 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 Addres-/i Phone '97_7 7-1—Str�
'LIMFA �' ' Phone
Architect Address / _
Engineer Address 9t.7 #? —' Phone
Contractor Address Phone
Legal Description of Pr perty (Give co%mplete escriptiio7n fromfdeed, tax receipfletc 1
ac/ 03I LFT / Y»'�--e--, zotaw /a%
_ ..>,3ery3- 9ody
DESCRIPTION OF W K: New _4_ Addition Remodel MovipgoBldg. Zone / Fire Zone
Siz@ of Lo f --� /341" XS /a',( 77 hoax a°Sewage System ssirs; Const.
orw.�es Dimensions O X �� �a x az Total
Rooms Baths Basement Foundation Const !-�'✓�.� f
(Full, part, none
Heat. System a F g Type of Roofin,
Use of Bldg. •. .mss,
Draw
proposed
tem and
Ext Finish
Fr., Conc., Br., etc.) c
Sq Ft 127�4,y valuation r�,Uod
Chimney/.fes Fireplace
1// (Kind) (Numb�rp
Int Walll Finish
PL^T PLAN
No of Units L Bedrooms \--PD.
sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
ater supply lines.
NORTH
r ESIDFnI — COMMERCIAL
r
777 y7‘
I hereby c
as shown.
SOUTH
information sub ted is correct and there
iL?i9 Of
Owner or Agent
State License No.
Ind ct. No.
REQUIRED %'n
Plumbing Permit �/%�/%/�/+ /e
Heating Permit diearto
Sewage Permit g
Plans Received
Plans Checked Yt
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
/2- 7-.75'
Date
A LANDtIJSE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/AA s .l
Your street address 111 be
ill' --Se age Permit Number Issued Building Permit
Remarks
DO NOT WRI
E BELOW THIS LINE
The zone
ceipt
Form 523 Bldg. Code
11.1 CP9e1/6-,-
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