1977, 06-22 Permit App: M2024 Residence4111
County of Spokane, Washington
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 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.
PLICANT FILL IN BELOW THIS LIN
Name of Owner �....�, . .a: • Address / _ Ji.i "
Architect Address 417 4
Engineer •_ Address
Contractor
Phone
Q€444 4A-. 7 971' Phone
Phone
Address ,x1-411711_,) Phone L/
of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Pi Al' = ..fir '`{ T - 4')
F if A. v 7- a" /> <<
DESCRIPTION OF WORK: New, X Addition Remodel
Size of Lot i) X' .•' G Ii
Si
Storie ensions
Rooms Baths Basement 1;7.
Fu 1, part, none(
Heat. System (' ,Lc7,.� (, EA Type of.Roofing
Use of Bldg. J' -.di
Moving Bldg. Zone 1 Firg,Zone . 3
Sewage System ).4i /01?�` = onst�
Fr., Conc., Br., etc.)
i- .,-?c. H X ...CL t- - h X //l i.:): G7 Total Sq. Ft /-7 /., Valuation Ai: - ,-- ":i
Foundation Const.. L14 r,. t �--
1' Chimney 1 41" 44 Fireplace/ -4,, 1 L1 1
(Kind) , (Number
0 -/f -i -='-;Q Ext. Finish ,. t L -'1 :.3''_ Int. Wall Finish /� )- r'- � J P ✓° Lk
.ill . ,c�t 1 c` - A.._,2,, --k_, . L t - t; 1..e No. of Units .Bedrooms -
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
SOUTH
State License No.
‘) / -j /V -f
/Ind. Inc. Acct. No.
5 /1 7,>(
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
nw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ce fy information submitt d is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,/ l DO NOT WRITE BELOW THIS LINE
Tour street address will be J t5 JI 5
Sewage Permit Number Issued
Remarks
Building Permit
The zone is Lt (.12i.
Receipt% j 7 7 Issued
Form 523 Bldg. Code
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LAND-MA!d1 St.i: VL ORS
SOUTH 726 LIBERTY DRIVE
LIBERTY LAKE, WASH.
255-6159