1977, 04-08 Permit App: M2182 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 L�
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 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 47235.
SETBACK 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.
s
nd
ents
whichwIareVenforce ble.throughrs civiluld check action. Countysions of Officialsocanants or not bringdactionntosenforcemcovenantsing with the or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner SS Address
Architect Address ya0 Ca Phone
Address Phone
Engineer >
Contractor - �t ���'i z" Address 1'-$ ' / +13 Phone, ; _-
Legal
Le al Description of P rty ive complete iltion fro deed, tax recei t, etc.) arcel Number, �"*JJ/,/11�'ck/ "'�1�`
flrc K 7 .rcA, ,�-d cc Les
-*ireeo / )(1. # c;,1 �5c3 S� -6706-
DESCRIPTION
7065
Ir. A•la
Phone 9.1 6? -39.14/
DESCRIPTION OF WORK: New;X Addition Remodel
Size of Lot `� Q P 1"p (l MY
S' l,-�- L 3,e `
Sones dimensinons lokn )(
Rooms T Baths of Basement a l/ Foundation Const (U-71 C
(Full, part, none)
Heat. SystemP1l T. A . Type of Roofing J!r P Kt Ext. Finish
Use of Bldg. 74-()YYl ihj/ A 7T AC IP &
/ PLOT PLAN
2
Moving Bldg. Zonne / Firer Zone
Sewage System 5,-1-1 A. Const. 7 e A rat--
(Fr., Conc. ylyet )a20
Total Sq. Ft V Iuation 'y/
Re -7Z' Chimney Fireplace �-
(Kind) (Numbs,
WOOCI, Int. Wall Finish D,e/C W4!/
No. of Units .Bedrooms
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.
m
t1
NORTH
I hereby certify infor
as shown.
n �/QCT
Owner or Agent
SOUT
ion su
e7
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d is correct and there are no other structures located on this property except
Date
A LAND, USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
�✓�� kt DO NOT WRITE BELOW THIS LINE
Your street address will be ,/,7,/,71.4/.� xif. / J✓/1`:
Sewage Permit Number Issued Building Permit
Remarks
t,
(i The zone is 4. /41, 2'.4Le( Z<,-4-"
(' •c iD Receipt Issued
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