1977, 07-01 Permit App: M2212 PoolCounty 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 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 N. 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 • /
Architect
Engineer
Contractor
4l0., ' Co T.
nr yw<•
Legal Descriptiof Property ( ive complete des
yy
J/Y, c r
71`11.1 �j 47d
Address �• l p0'7 , h.
Phone
Address Phone
Address ��/ Phone
Address �• Qo v �a rCl a.. phone 7.737-6yvz.—
•iption fr m deed, tax receipt, etc.) ParcelNumber-i-75V-7 - 40 3?$?
AIA) %l deed,
%y _otter r y�s'� of Ser zz
qzV-gi31
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot / % .x410 e
Stories=Dimensions)Z
Rooms _Baths
Moving. Bldg. Zone / Fire ki Zone 3
Sewage System N/9 FonstX i^v/- ei
FF Fr., Conc., Br. etc.)
Total Sq. Ft, - JTZ Valuatio aa
ChimneyFireplace `tf
( ind) (Num er
Int Wall Finish ti//a'
No of Units _Bedrooms "/4
Basement rl./`4—Foundation Const
Fu 1, part, none)
Heat. System--_�.CLr Type of Roofing p Ext Finish /t fi
of
Use of Bldldg..CX�ii; rim f ,!� �L%-Ct r! d��
) �/,Lif.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys
SOUTH
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
NSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here certify aformation mitted is correct and the arc no other structures locate on this property except
/
shown. ',i>
Owner or Agent � / 47
1 17 7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will b /L) d 7
Sewage Permit Number Issued 7
Remarks
The zone is ix� �I2G /-
L
Building Permit J,2/ Receipt 7.1"-C Issued
Form 523 Bldg. Code