1977, 04-01 Permit app: M0312 Residence,4
•
Co ty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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 or alter any building or structure already erected, or to change a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection. i
NATER. 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
&nd 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
Name of Owner. U0AJ477-, C.O . Address
Architect _Phone Engineer
Contractor S�¢�_1fE /�{�✓C Address_
Legal Description of Property (Give complete description from
6.
_tax receipt,,etc.)
Phone
Phone
Phone
MW — ITEWiiruw- {
DESCRIPTION OF WORK: New Addition Remodel Moving Bid Zone Fire Zone \ J
Size of Lot C'/ ',�� / !% Sewage System . , Sto-ees -
Const. L _ Dimensions c�l " `> :: X / O �'� "
`d < < X 3?oil Sq. Ft. f ! Valuation J 1: 'G
(Frame;' concrete, brick, etc.)
Rooms Baths —/— Basement - ! C Foundation Const ez, %-' ' C c' C
Chimney �� Fireplace �
_ (Full, part, ,one) (Kind) (Number)
Heat. System L Z / '� Type of Roofing !` ✓" , — Ext. Finishi :. t'<'= —
Int. Wall Finish `� {
Use of Bldg. -<_'- _ 4 . No. of Units Bedrooms
G"zage�r C'ir (5rl Att-ached - 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 s (5) dimensions of buildings; (6) location of sewage sys-
tem
and water supply lines.
NORTH -/ �1 state License No.
Ina. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/� SOUTH
I hereby cert' y inf mat' submitted is correct and there are no other structures located on this property except
as shown.
4 7r7
nt Date
ner or A
A LAND USE - 'R 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 be "L _ / G` `,� ��� ; �,�� o �- The zone
Sewage Permit Number Issued Building Permit Receipt_
Remarks
Forin 523 Bldg. Code
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Ar 0
GAL
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