1977, 04-06 Permit App: M0425 Residence1 i
County of Spokane, Washington
Alt 141-°
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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 regress.
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.
MOVIr3 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 ��orrzcie,
Name of Ownerr/Yj2yV,S ( c' (. S W & • Address? max 7,e0:11 Phone 4P -Pt
Architect Address Phone
Engineer Address Phone
Contractor f"E Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc 1 Pe r - 2 d `r 'jd q j 7
Lo -r 20 eu< 2�.)-1c-�rzu/cxp F rz r A .
DESCRIPTION OF WORK: New /\ Addition Remodel
Size of Lo 1iZ Ul /-►Q
Stories Dimensions
Moving g. Zone __l_-- Fire
�— �— 1— 1
Sewage System onst.
(Fr., Coda. Br., etc.)
Valuation 42) crD
e
aT'p
tal Sq. Ft
Rooms % Baths 2 Basement r-'0(_(- Foundation Const
(Full, part, none)
Heat. System -TA E. Type of RoofingExt.
Use of Bldg. 51 'DG -NGS 2.2..x2 4 G�946.G E
CcDNL;12e.TaC Chimney Fireplace 2
(Kind) (Number
Fini S) D11J Gj Int. Wall Finish 'RYWWI..S-r
4
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.
No. of Units _ Bedrooms
tn
NORTH RESIDENTI
— COMMERCIAL
I hereby c
as shown.
SOUTH
nformation submitted
�is/ o ect�aannd there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
m
a
1
State License No.
FAB'
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit X
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Your street address will be //
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
A-_ / The zone is„Isv/1�����
Building Permit -Y/1 U (ZS Receiptf.g3 Issued
541
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ur)
LOT 20 EA -r, 2
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