1977, 11-17 Permit App: M4144 Residence, Renewal of L25040
County of Spokane, Washington )/7 -
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS PERMIT FEE 1
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 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 99.7...e,�
.Name of Owner _ Address % cP// /f oSGCeade X .edeeP.pre
Architect Address Phone
Engineer Address Phone
Contractor -Q Address Phone -
ofls;9- n 07 3 6
_atia—dee
9076 — s 9,57
Legal Description of Property (Give complete description from deed, tax receipt. etc.) Parcel Number
0 5
4/ /i S3 ' 4-- %.C -c. s 7
DESCRIPTION OF WORK: New Remode
Size of Lot 6
Stories L Dimensions o2� X '$`/' ' X cRc?
Roans 4 Baths / Basemen Foundation Const
(Full, art, none)
Heat. System E Type of Roofing
Use of Bldg. te,
Moving
Sewage System
Total S
Bldg. Zone Fire Zone
onst. WA
,#4- X74
{Fr., Conc., Br., etc.)U
q Ft /d.S6Valuation
Chimney -1/r Fireplace
( ind) (Nu er
Int Wall Finish
/el,Aio of Units_sedr
Ext Finish
PLO PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH
SOUTH
I hereby certify 1nP'%lr...Vlion aNbmitt
as shown./.%!/f y (/`'
s
(3) location of existing and
(6) location of sewage sys-
State License No.
L92 -W
Ind. Ins. Acct. No.
COMMERCIAL
REQUIRED
Plumbing Permit
Beating 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
/7 77/7 7
Owner or Agent D to
A LAND USE OR STRUCTURE PERMIT MUS E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address .111 be`
Sewage Permit Number Issued
Remarks
Building Permit
e zone is
Receipt 0 i 4, ;sued
Form 523 Bldg. Code