1977, 04-03 Permit App: M0335 Residence. Canty of Spokane, Wash#gton
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. 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 1s 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 BELOWLTHIS 1L1IN'E/ 99i��
/d
Address ,,a C 7' a -4r° Phone 9_9-4 -4 .1;43
Name of Owner
Architect / Address Phone
Engineer Address Phone
Contractor Address
Legal Description of Property (Give complete description from deed, tax receipt etc
DESCRIPTION OF WORK: e� �` Addition Remodel Moving Bldg{Zone �— Fire e
Size of Lot 70 X0��/' / Sewage System 51.17
�F'nstC.onc�/Y/'c�p [�cp.�r—�
Stories�Dimensions JoA1�r �' X7�,•
Total Sq Ft /�93 Valuation
oms� Baths Basemen Fou�/ation ,Const Chimneyrv.7�,�.-Fireplac
Full, part, no /% / (Kind) %INumk@d
Heat. System pO� �roofingfe� Lam,
ea Finish � , Int Wall Finish
Use of Bldg. .�%C,�.0�jL.lr-�2�- uA/J �' �L? No of Units _ Bedrooms
(/� s� 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.
NORTH - RESIDENTIAL—COMMERCIAL
I hereby certify_lnformati
as show
SOUTH
submitted is -correct and
L'I'tGPT-(�4.-r
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Oyu., ?ifj a DO NOT W ITE OW THIS effi
s
Your street address will be 1 J=°a'
V/77
The zone is
Sewage Permit Number Issued Building Permit - 6U > Receipt rte
Remarks
State License No.
03<
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located
this, property except
77
Form 523 Bldg. Code