1977, 04-04 Permit App: M365 ResidenceBasic Job # 117
Canty P of Spokane. Washgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.._4_$_..00
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 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. t
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Robert A. Long Address E. 11922 - 25th Phone 924-4782
Architect Address Phone
Engineer Same Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Parcel # 20543-9027
Lot 23, Blk. 2 Sherwood Forest
DESCRIPTION OF WORK: New X Addition
Size of Lot 150x -221)(80x-154
Stories / Dimensions 4AX24, 30x22
Rooms r Baths 2 Basement Full Foundation Const
Fu I, part, none)
Heat. System F A Elec Type of Roofing Shake
Use of Bldg. Residence with attached garage
Remodel Moving Bldg. Zone 1 Fire Zone 3
Sewage System Sep Tank oast. Prflme
(Fr., Conc.,�pBr., c.)
Total Sq. Ft 1812 Valuationy48 • 00.00
Concrete Chimne ,7aSnO rjiireplace 2
(Kind) (Number
Ext. Finish T 1 - 1 1 , Lap Int. Wall Finish Sheet Rock
No. of Units Bedrooms,
C .1. 0-0
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) locatio gxistjj.&-nd
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
N
NORTH
1 COMMERCIAL
See Attached plot plan
I here
as shown.
SOUTH
State License No.
LO-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
ify ip ormatyoty submitted/ correct and there are no other structures
Owner or Agent
Date
A LAND OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS OT.A PERMIT
DO NOT WRITE BELOW THIS LINE
/ 11/ h/ r4ti'1i0wi iQ- A The zone is
Issued Building Permit /V/3(a`; Receipt (P343(t' Issued
located on t s property except
V 0 1
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code