1977, 04-04 Permit App: M0763 ResidenceBasic Job #115
alloy of Spokane, okaneWasifigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__
S56,00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of anj
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 Robert A. bong Address E. 11922 — 25th Phone 924-4782
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
20543-9027 Parcel #
Lot #7. Blk. 3 Sherwood Forest
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 80x1 30
Stories / Dimensions 26x46, 223(.26 , 22x 26
Rooms _-. Baths Basement .'u11
(Fuil, part, none)
Heat. System F A Elec Type of Roofing Shake Ext.
Use of Bldg. Residence with deck and garage
407
Moving
Sewage System
Foundation Const
Concrete
Finish T1-11, Lap
Bldg. Zone 1 Fire Zone 3
SAT) Tank coost. Frame
(Fr., Conc., Br., etc.)
Total Sq. Ft 2340 Valuation i3 • 500.00
Chimne,Masonryireplace 2
(Kind► (Number
Int. Wall Finish Sheet Rock
No. of Units 1 Bedrooms 3
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.
m
to
-q
NORTH
COMMERCIAL
See Attached plot plan
I hereby c
as shown.
y infor
ALX
m
State License No.
1,0—NG—*R—A246R0
Ind. Ins. Acct. No.
327-551
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tion bmitted corregt and there are no other structures located on9 pr erty except
Owner or Agent
Date
;7
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT Al PIT.
Tour street address will be S CA13 Viii 1ru.� �,z49 Q / The zone �l Q F
Sewage Permit Number Issued Building Permit Receipt T JIssued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
7'
Leo"
Lor 7 , 1gti�,
s/7/ERW00z7 FOREST
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