1977, 05-31 Permit App: M1786 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 any
kind Abr 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.
j� (� APPLICANT FILL IN BELOW THIS LINE
Name of Owner y /,',c,C, % eALERc Address
Architect Phone ,/
Contractor S1(3,9.46.20e0,107;,; ?'9i. cco, Address4 l///,,/,? )/Q/ ✓,s Phone 92f -1 8
Legal Descript on of Property (Give complete description from deed, tax receipt, etc.)
,Gar 1- 3�X #2 - W L1,E,1V.,,EY /4Adore f7ra /47)a'nV.
,rl. /O0- -:43i4?i✓P1 117✓E Phone Vi -4 ,6
Engineer Phone
DESCRIPTI � OF WORK: New %� Addition
Remodel
Moving Bldg. Zone
Size of Lot "0(fX / Sewage System S
Const. r y/y'F_ Dimensions 3(d('011)=261-0 it +'L'ZO' X 22 L04 Total Sq. Ft /K -Z5"
(Fram@, concrete, brick, etc.) &q/Ly6.Zr)
Rooms 5- Baths / Basementriad, Foundation Const L-.oio 4°/2,L TIE
(Full, part, none) /ff /_�
Heat. Systeme, G4.r Type of R ofing er.Wpo. Ext F'nish WOOD
Use of Bldg. �'.�S%p�:c/G, /�ATjAC�I,E?� �}�ILACre✓ �(tl[ €�`� No. of Units / Bedrooms 2
Fire Zon
'7 Tit/, Stori s „ .
Valuation AI 0 .OQ
Chimney Fireplace
( ind) -� (Number)
Int. Wall Finish Th2.. /k/A/LL
Garage or Carport Attached Private Detatched
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.
m
NORTH
ify
ip
.4001 /a ,
SOUTH
itted is correct
m
m
State License No.
17,0 - 01- 84'2.1
Ind. Ins. Agct. 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
Owner of -
/�%�1� .v /907
property except
ent Date
USE OR STRUC RE 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
Sewtlge Permit Number Issued Building Permit
Remarks 1
e zone is 4t (_LA. LLd.� "�2-(l
Receipt �j �'c1 Issued
Form 523 Bldg. Code
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