1977, 05-13 Permit App: M1299 Residencea
Ctnty of Spokane, Wasongton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 G,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE .__•----------------•----•+�
PERMIT REQUIRED. A landlusedinr structureee a lreadysd
erectedeory touchangety salland nerect
d or
alter any
use. construction structure or
�st conformwith tb
kind o
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER Water
shoulders t bditchesvof County Roads, permissionandState emust bealth pobtained fromrthe oCounty aEngineter er'stofficeisturbs
the sur
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133and47.235.
SET -BACK FROM reROPTed, aLINES.
5 side yard,zones
15' side yardrfrom acircumstances
street,set-back
25, rearthe
yard areproperty
requiredline, of at
least 25' is q clearance must be obtained pertaining to set -back and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway,
and egress.
COUNTY
ormed0insaccordanceswithtstakes.opointsmof ay ingressperformed
egressnmustntil staked
approved byCounty
theRoad
Co Departmet and
work must e
De
sting building. When a building is moved on a County or State
MOVING OF BUILDINGS. A permit is required to move an exi
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.
which lareVenforce ble throughrciviluld action kCountysions officialscovenants
not bringdedications
toand
enforcements covenantslng with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINE
Address Phone
Name of Owner R8v3 liH 1�
Address Phone
Architect Phone
Address
Engineer Phone
,L Address
Contractor
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
to % /it -c !c
Addition Remodel Moving Bldg. Zone Fire Zone -3
DESCRIPTION OF WORK: New sl— onst.
Size of Lot �1 D /1/ 14 Sewage System Por., Conc., Br., etc.)
/ Total Sq. Ft.� Valuation If 416 )
Stories Dimensions
Rooms $' Baths FuIIBPart none 6// Foundation Const. rn �^ Chimney (K �d Fireplac (Numb
Heat. Systems r� , % /l.� ype of Roofing (iWI Ext. Finish Int. Wall Finish
Use of Bldg. d h No. of Units _ Bedrooms
x_
ffr
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. '�� State License No.
NORTHRESIDENT — COMMERCIAL
as
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
M Heating Permit
a Sewage Permit
—1
Plans Received
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed _
SOUTH
I hheree/by certify "nfor{m//a�tion submitted is correct and there are no other structures located on this property except
DIT
�7•
;liner or gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will beL��; ��%' The zone is
Sewage Permit Number Issued Building Permit Receipt ` ..� Issued
Remarks
a
44,44.42, r
J7 a