1977, 05-13 Permit App: M1300 Residencemy of Spokane, Was gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE Pamir/4'A!
GENERAL REQUIREMENTS PERMIT FEE •
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
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
Name of Owner 1ef('min-sem Address 'felt4 Phoneq'*
Architect
Address Phone
Engineer Address /
Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) e4aV 4"--
i-1 .1L 131K 1 6-u .? 144- 1,4" it.'ha.14/
DESCRIPTION OF WORK: New Addition
Size of Lot ' 1 NCO —117.7.7
Stories1(mensions „i-P'�t e-- �,� �e�iL7s1
Rooms Baths .3•* Basement pi // Foundatio
(Full, part, none)
Heat. System p't/aVIType of Roofing 49�D 70+
Use of Bldg. Rat S. if -
Remodel Moving Bldg. Zone 1/ Fire Zone 1
Sewage System S+y-n-Const. , P'/si4+"3.11n
(Fr., C•nc., Br., etc.)
11 Alt",c#44afi Total Sq. Ft. 7ibl-IP Valuation .01-60
n Const. ee-a7n--4s Chimney Fireplace
( in (Number
Ext. Finish c/id Ae47If Int. Wall Finish 07aigeki7
No. of Units _ Bedrdoms 7
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.
NORTH
CESIDENTIAL — COMMERCIAL
IP r P 41-7
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. /�9 �._�
Owner or Agen
A LAND USE OR STRUCTUR
THIS IS NOT A PERMIT.
Date
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be > =<
Sewage Permit Number The zone is
Remarks .06 Receipt 1:-.`:f/ -7 Issued
Issued Building Permit
Form 523 Rla„ r„ae
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