1977, 04-06 Permit App: M2166 Residence1
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 east 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
•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .5".4'42 -
GENERAL REQUIREMENTS
PERMIT FEE
Name of Owner
Architect
4/
1.
,'
Enginee
Engineer
Contractor
Sa "me
Address I
Address 14/ACfi X77 1.6/je Z"dL.. Phone
Address / 363- Phone
Address Phone
Phone`�-
Legal Descripti of Property (Giv complete des ription from d ed, tax receipt, etc.) Parcel
L o" Y 4'/'C,j S`he,e w od tee s /
A,P 74/0 o A',er_e/ 11.E— 90
Number
DESCRIPTION OF WORK:New ew ._X— Addition Remodel
O
Size of Lot t7 o �X /30'
5-pfi# F.717,41
Stbries Dime sio�nns aC 6 X �11 / Total Sq Ft
Rooms 6 Baths c I Basement /// Foundation Const `-16TCF`& %
Heat. System G,/ F (A. Type o -llloofing S//A/ /� Ext. Finish WOOd
Use of Bldg. /7QI'i')e, W, 4 774(! hN? QC�,e4 Q i°
%�L PLOT•/PLAN
Moving Bld Zone — Fire Zone . 3
Sewage System Const.
�e)
Br00
Ful, part, none Chimney
Valuation
t1 Fireplace
(Kind) (Num
Int. Wall Finish
No. of Units LBedrooms
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
4T7/ced
I hereby certify inf
as shown.
m
N
State License No.
OK
Ind. Ins. Acct. No,
RESIDENTIAL - COMMERCIAL
REQUIRED
I-RED
Plumbing Permit
Heating Permit AOE/L/DOie F1
Sewage Permit CA 2 fl E (/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tion surbM
fitted is correct and there are no other structures located on this property except
(
/! A ...,
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MU T BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS /S NOT A PERMIT.
-3'.4a1(1 DO NOT WRITE BELOW THIS LINE
Tour street address will be 5//
Sewage Permit NumberIan
Issued Building Permit
Remarks
Form 523 Bldg. Code
// � The zone is j� �rL�
9/ b Receipt gam`% Issued
a(1; j
7 7,;
..477
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