1977, 04-04 Permit App: M0676 ResidenceCantof Spokane, Was! ton
Y P 9
Basic Job # 118
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.. 5J..._51)
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 mast 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
pkrformed 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 „?-e
Name of Owner Robert A. Long Address E. 11922 - 25th Phone 924-4782
Architect Address Phone
Engineer Address Phone
Contractor Salve Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Pareel # 20543-9027
Lot # 19, B1k. 2 Sherwood Forest
DESCRIPTION OF WORK: New X Addition
Size of Lot 146x72x28x88x87
Stories / Dimensions 26x52, 24x28
Rooms 5 Baths Basement
Full Foundation Const
Full, part, none)
Heat. System F A Elec Type of Roofing Shake
Remodel Moving Bldg. Zone 1 Fire Zone 3
Sewage System Sep Tank onst. Frame
(Fr., Conc... Br.. etc.)
Total Sq. Ft 2024 Valuationy�h
000.0o
Concrete ChimneyMasonryireplace 2
(Kind) (Number
Ext. Finish
Use of Bldg. Re sidenne wi tH attaChPc3 grape
T1 -111D
a- Int. Wall Finish Sheet Rock
No. of Units J. 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
N
NORTH
Bee Attached plot plan
I hereb
as shown.
SOUTH
fy inf mation submitte
Owner or Xge t
A LAND US OR STRUCTURE -ERMIT MU
THIS IS ,PER T.
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State License No
ZO-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
correct and there are no other structures located ont s p operty except
4/ 4I j 7
Your street address will be
Sewage Permit Number
Remarks
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
/4)-7)11 04-4G-Z1h1 The zone is C1'^
Issued Building Permit ;I .!(`, Receipt 'S(Jf Issued
Form 523 Bldg. Code
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