1977, 11-01 Permit App: M3984 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE._I_-519
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 SYSTF9(. 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 HIGHAAY6. 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.
ROVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
mammy.
ACCESSORY
RESTRICTIVE
which
Name
Architect
Engineer
Contractor
LegalDescription
clearance DUJ4 UC UUI.aluCu
BUILDINGS. Accessory
COVENANTS. Builder
are enforceable through
��
of Owner A // i ti ~rr�+4wAr�,-
arum nue CUWI1J cusluvet aUU/UL oI,al.e nlgaway neparImen,.
buildings (garages, sheds, etc.) require a separate permit.
should check provisions of covenants or dedications and easements running with the land
civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT�LIFILL IN BELOW THIS LINE
��
' •dress .G ... -. at one • 4 - ��
/� Address 0 _. / - Phone
Address Phone
4,27a.C.2
Address Phone
of Property (Givel
complete jr cription fr de , t race Parcel Number %.5 '.a — ..330
lc.
DESCRIPTION
Size
Stories
Rooms
Heat.
Use
proposed
tem
m
-1
as shown.
OF WORK: New '�
Addition Moving Bi dg. Z—one Fire oneg_c
of Lot <✓)• �%3 X /:7S
rRReemodell
O/ l` `�� )�Q v Sewage
SYs[e/�t��
Q
Total Sq. Ft. -�6,�-rte
con
i • sL�5��.
Dimensions •S(//! A"
/ fX�U
4C P 7` h� X .it /O,r L� dP.a�:
r., etc.)
Valuati n 1ZI1L
Basement
Chimneyr•/lS
• Fir
j, IQ/ Fo dation Const 'O
,Baths
u part, n
System Type
t'l�RIC
ce
(Kind) (Number
Wall Finish
of Roofin t Finish /P-- / / / Int
of Bldg. , cd.teR
2 .✓ 2 - No
of Units ,Bedroo v3
(3) location of existing and
ngs; (6) location of sewage sys-
/j
PLOT PLAN
showing: (1) property lines; (2)_street or road ,locations;
to property lines and streets; (5) dimension of build
- ^ l
NORTH � j�"a``'�,/�'-���
Draw sketch with dimensions
buildings; (4) distance
and water supply lines.
State License No.
r
(.1N /�
F/
'A'
Plumbing
re Heating
N Sewage
y
Plans
Plans
Plans
Plans
Plans
other structures
//
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUITED /
Permit /�� '1 d-�
%U'
Permit Or l.. - r_/ /
Permit
Received
Checked
Returned
Picked Up
Mailed
located on this property except
- / - 77
I hereby rtify information
&sc&
SOUTH
submitted is correct and there are no
,
A
THIS
Tour
Sewage
Remarks.
Owner or Agent
LAND USE OR STRUCTU2E
IS NOT A PERMIT. I
6;14, ,
Date
PER MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
street address will be I
/� ��n " '/ 0, le -14' ! zone
P%ermit Number 1
/f'iIr/XL�il%imu,.
Issued BuildinPPermit //(�� Receipt ' / sued
I
I
Form 523 Bldg. Code
L 3
f3ia cis 2
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