1977, 04-06 Permit App: M1677 ResidenceCounty of Spokane, Washington
ashington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ' "4 -
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 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 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 wtWrtr-
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
Hi , 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 _ •I in, .l.. (/ 4,P A/(. r/ Address,..___Let- -f�nX /.�'-,/fi Phone % %1- 5 -re: "
Architect / Address L/.49,/ t EA} Z -Ave , Ld44 Phone
Engineer Address a?9.D?5' Phone
Contractor t••)/2 hi C Address Phone
//Legal Description of Property /Wye complete description rom deed, tax receipt, etc.) Parcel Number
r? /or c/ K/acie. 4/ Zit -sr /ht,sAaitil /sr
/ •
Pot r:nn1 tic PAQcE / te ?3 5V2 fa _2Y
DESCRIPTION OF WORK: New X Addition
Size of Lot 2O /' //f9
/
9 A/C t/'
S Dries Dimensi
Rooms Baths -
Heat. System J'
Altip, E i,l/A 71ACHr...b tat,ore
deu-a t.ePtgLet,C- PLOT PLAN
Use of Bldg.
Remodel Moving Bldg. Zone -/ Fire Zone
Sewage System .ISG r / c - CConst. C2- /9 /n E
(� �'/' (Fr., Conc., Br., etc.) a
ons .J / ��/ / Total Sq Ft 22'/ —Valuation S/t o /
Fu I,
Basement r4- /1 Foundation Const (�/ 0 n/P 2 F. >F Chimney » • Fireplace 2
_, (- J (Kind) (Number
A, Type of Roofing Sid 4 /CA, Ext. Finish 10/ 0 0 41 Int Wall Finish/✓fey w,u //
No of UnitsLBedrooms 5'
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.
-i
NORTH
IQ fig c
State License No.
0/1(
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit T Y e
w Heating Permit AVM r,t/�
Sewage Permit 0 nif' eti
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up -
Plans Mailed,
SOUTH
I hereby certify info tion su itted is correct and there are no other structures located on this property except
as shown.
Or Agent
7 - 77
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Owner Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.�ryry
19-n4..., -Nap DO NOT WRITE BELOW THIS LINE feet, ict.O! r�
address will be ,S4:43./7 ,S 471 SU r �,7-`LLij4_�.C� �1 The zone 1c.A�fO +S•(1 ri.2! („
1
Issued Building Permit Receipt Issued
Your street
Sewage Permit Number
Remarks
Form 523 Bldg. Code
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67
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90
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