1977, 04-06 Permit App: M0405 Residencetioanty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT "5-0 o�
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 most 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 tate
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. L
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 ,%/ ;77 .Z 62 /9-0tYL-77 Address Xi- 3 /" f Phone •
Architect Address frd. �.� �1 -�. Phone '97? S'-%'s—
Engineer Address .3FSS Phone
Contractor -. .S "a rp 'C Address Phone
Legal Description of Property (Give complete description from dee t x rec ipt etc 1
.tr / ,-7 .2 A'/O e./i y - deep,
jPdQ to -/NG "— 'is" v,3 — O -'i22
K: New y Addition
Remodel
Di (sions ,Qli X. -4`y -
(Full, part, non
Rooms (, Baths. - Basement Foundation Const
Heat. System e, r Type of Roofing
lee of Bldg.
Moving Bld Zone —/ Fire Zone 3
Sewage
System_ Const.
(Fr., Conc., Br., etc.)
Total Sq Ft )9 3--z Valuation y�-�d
Chimney (Oa- Fireplace .2
// (Number
Ext. Finish �cr2-t Int Wall Finish ��1��ia-e�
No of Units L Bedrooms .
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locat
-proposed buildings; (4) distance to property lines and streets; (5) dimensions of buil
tem and water supply lines.
NORTH
RESIDENTII}L - COMMERCIAL
I hereby cer
as shown.
SOUTH
nformation submit
ed
is correct and there
ions; (3) location of existing and
dings; (6) location of sewage sys-
State License No.
UK OM F/LC
Ind. Ins. Acct. No.
REQUIRED -
Plumbing Permit 771
Heating Permit .72,--41,÷".."-
, ÷".
Sewage Permit C �
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property .except
Owner or Agent
Date t
A LAND E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will be // ee.Z , ��yt-LQ4 4- e t
Sewage Permit Number Issued Building Permit fl)d 10) Receipt f{H 73 Issued
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is {f/1"4624 -
Form 523 Bldg. Code
-
0.2 ./ /172,42,-5
17k: /
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[o77 7-7-/
11