1977, 04-08 Permit App: M0813 ResidenceCtntY P of Spokane, Was in ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 11 3
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.
NATER. 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 Vvn, /� f' IZEU 4tdj 4Vd,rp(Avddress
Architect Address � Id( 1�
Engineer AddressQ2
Contractor u7%'��=� �� Address
Legal Description of Property(.G,iveicomplete descript" from deed, tax receipt, et�.)
Phone!g2a— 2g��
Phone
Phone
Phone
DESCRIPTION OF WORK: New If Addition
Remodel Moving Bld . Zone /— Fire Zoye -`
S, 8 of Lot
Sewage System f-onst. 7; q'Z7 C
Fr., Conc., Br., etc.)
� "/— £ t.�� /
O
Stm6ries Dimensions Total Sq. Ft. Valuation
Rooms Baths Basement k Foundation Const. c Chimney C Fireplace
_Fu 1, part, none r
(Kind) (Number
Heat. System `,A Type of Roofing SL-6�jq
/G �„ Ext. Finish _Z&)_11 clz Int. Wall Finish
Use of Bldg. G
gNo. of Units ,.,Bedrooms
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
State License No.
Ind. Ins. Acct. No.
I herebXeWtify
as shown.
4/ / //G_ //.rJ
SOUTH
ation submitted is correct
REQUIRED
Plumbing Permit /i r�_'
M Heating Permit
4A Sewage Permit `
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
CZ Owner or Agee 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
Your street address will be_%�! ���-' /.� ,�,u.��_ The zone is�
Sewage Permit Number Issued Building Permit ,Q 9 13 Receipt k 24 ^_r Issued
Remarks
Form 523 Bldg. Code
iirYlOricF. Or; v 12--
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