1977, 04-07 Permit App: M0476 ResidenceGinty of Spokane, Wasb ngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3
GENERAL REQUIREMENTS PERMIT FEE ._3
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 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() ��/1�f�J� EZ. Address
.Ep
Architect Address Phone
Engineer Address Phone
Contractor t Address Phone
(71 Description ofP"pty ve complet description from deed, tax receipt, etc.) "is K 33S ' 3 7n 'ZT
4�F-4
l - 4 . 71,0 -e.0 -s -O . / --st t2 JAI _
DESCRIPTION OF WORK: New Addition
Remodel Moving Bl -dig. `Zone / Fire Z ne
Size t / 3 if. tri( / 3 / 0' X 17't )e (� ^ f X '� d r Sewage System ���r-« Const.
c0 U $a /0 x /7-r )C 1 r !/ Fr., C Br., etc.)
Storie Dimensions `F Total Sq Ft Valuatiod i'. Q n
Rooms Baths Z= BasementConst.
Full, part, none)Foundation `�Chimney
�'�- Fireplace
j (Kind)
Heat. System Type of Roofing A J Ad Ext. Finisht— 7/ / Int Wall Finish
Use of BId 6
ff de,/ cer
No of Units_ Bed r 5ms
PLOT PLAN
Draw sketch wit if 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.
NORTH RESIDENTIAL - COMMERCIAL
as' 6)ET
SOUTH
I hereby car 'nformation subWitted
as shown.
Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
wr Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rent a[}dt re are no other structures located •n this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be LIN 0 XJ
Sewage Permi
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is-_/'
Issued o Building Perm t 0�(7( Receipt t.s 2 -1 -Issued
Number
t YYIQ 3
Form 523 Bldg. Code
t SHEET
TO
TTHE DIRECTORTOR OF PURCHASES, A. F. E. COMPTROLLER'S
THE FOLLOWING ARTICLES ARE REQUIRED FOR RAILWAY COMPANY'S USE. AND SHOULD SE DELIVERED
TO AT
EUPVL!ES W`SL CS FURNISHED ONLY UPON TME WRITTEN REQUISITION oF THE HEADS OF DEPARTMENTS. AND
THE O- -
Q THE REQUISITION MUST STATE PULLY AND
MINUTELY WHERE AND FOR WHAT PURPOSE THE ARPCLLS ORDERED ARE TO EE USED. IF THIS IS NOT DONE THE REQUISITION MUST PE RETURNED FOR THE INFORMATION
I.T
ITEM
NO.
Q� U`Y
DESCRIPTION OF ARTICLES
ESTIMATED
COST
DELIVERY
REQUIRED
(DAYS)
FOR L•/Ha-
PURPOSE
ORDERED
ON HAND
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GENERA, STOnEREEflR