1977, 04-11 Permit App: M0529 ResidenceCanty of Spokane. Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 i,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 1:7�
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 onwater connections�atawurbs
the_liLLice, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
mg E SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47,235. *Or
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 2 �
9-1 % . A-• ! .ti.2.ZDPhone D 34'6-Z7
Phone
Name of Owner
Address
Architect Address
• Engineer pp Address Phone
Contractor , Address "— � Phone
Legal Desc iption of Property (Givecocmplete defrom de d, tax receipt tc-,) /
�(. is ,-.2. CrA7 / c i � 'a - '(r—cam' % 5 S i ct— /'it t
DESCRIPTION OF WORK: New X Addition
Size of of
x/96
.2$ 3
StorieDimen�sions
Remodel Moving Bide. Zone / Fire Zone J
Sewage System r",12:1 --Const. "^-s----
> (Fn. Conc., Br.,,ptc.
ctX(02:fuk- 1X _l Sq Ft )SIC; Valuation —.S '10115°
Chimney Fireplace o'✓
(Kind) 0 ((Dumber.
• Ext Finish / — i — /I Int Wall Finish ,�`{-t�"r
No of Units _ Bedrooms cgs;
Rooms Baths Basement Foundation Const C
(Full, part, none)
Heat. SystemType of Roofing
Use of Bldg. .S 4%:,
f
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
COMMERCIAL
I hereby,gertlfy intp
lrmation submitted is
1,:
shown. �f/
Q1 �a472;
Owner or Agent
A LAND USE 6R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT. '
correct and there are
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION
The zone is'
Receipt
77
COMMENCES.
Form 523 Bldg. Coda
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