1977, 04-12 Permit App: M0809 ResidenceClinfy of Spokane. ane. Wasin t
on
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 an
kind or alter any building or structure already erected or to changea an use. ons land Construction must conform with th
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 r
performed in accordance with st
MOVING OF BUILDINGS. A permit
Highway, clearance must be obta
ACCESSORY BUILDINGS. Accessory
RESTRICTIVE COVENANTS. Builders
which are enforceable through c
ight-of-way may not be performed until staked by County Road Department and work must be
akes. Points of ingress and egress must be approved by the County Engineer.
is required to move an existing building. When a building is moved on a County or State
ined from the County Engineer and/or State Highway Department.
buildings (garages, sheds, etc.) require a separate permit.
should check provisions of covenants or dedications and easements running with the land
ivil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner 1 S 1 (1\ U - S SU Address
Architect
Engineer
Contractor
Legal
cpt1 of Pro etty�( e complete de
l�� � 7
Aicc n )o, bb'
Address
Address
Address
ryf°d, tax receipt etc 1
DESCRIPTION OF WORK: New x Addition Remodel
Size of ZG l Moving Bldg. Zone, / FireZZoone
Si ( Lot A ✓ L) I`� t" , i U — 300— 31Sewage System / i`. onst. ) Zone /i� 4
S� : (g / Y �0 �Fr., Conc., r., etc.) a
ries Dimensi. s /� Total Sq.Ft Q w
Rooms // /� /y" aluation
l�J Baths Basement hill Foundation Const (�Dni��F_
1, part, none) �� Chimney Fireplace
Heat. System �Y Kind) (Num r
HUeat
of Bldg.
1 1 �n _ Type offing S HPxC, Ext. Finish (LD 1) Int. Wall Finish ( 1� !/
g. () .
J) " ' • 7 0/ (1 9,9 e �s�. No. of Units 4 Bedrooms 3
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.
RESIDENTIAL — COMMERCIAL
1
N
y
NORTH
SOUTH
I hereby certify information submitted is correct
as shown.
nn./.d1,nL, J
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
m
YO,
-4
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
11/7/77
Tour street address will be / `l'd`:,
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES. ire
Jil, ' _)4I,'. The zone .,r" ill____-jzz-et-
Building Permit 14_ 0207 Receipt I Issued
Fnr,n t9'1 01.L.. ,-_r_