1977, 08-22 Permit App: M2968 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3*
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
,V
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 47235.
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 ref? P// (/ i /1St Co Address 920 9 F Ten t phone 9c ' Oc 4),.3
Architect Aa✓SPh Address Phone
Engineer Address Phone .�aa
Contractor �.Y'cf l/ ())/Z 11 ed Address 9209 Tran T Phone / � ;.�
Legal Description of Property ( ive complete description from deed, tax receipt. etc.) Parcel Number 'f 3'Y 6 V3-' 906 .3
ei� ,e
DESCRIPTION OF WORK: New Addition
Size of Lot 73s= x / '36
Remodel
Stories Dimensions ya X IPS
Rooms Baths /Basement r.i/a Foundation Const
(Full, part, none
Type of Roofing ro ri.4 % •
Heat. System
Use of Bldg.
Moving Bldg. Zone Fire Zone 3
Sewage System ar76a Const.
(Fr.. Conc., Br., etc.)
Total Sq Ft /,7G Valuation 39C Qoo
e-0xc
Ext Finish S', e/
Chimney Fireplace
(Kind) (Nu b r
Int Wall Finish Al// -?d
No of Units _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.
N
-I
NORTH
,ricAAL
SOUTH
State License No.
O K a A/
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
)
Plumbing Permit
nr Heating Permit
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify ien �r Son submitted is correct and there are no other structures located on this property except
as shown.
7aa-77
Owner or Agent Date
rA LAND USE OR STRUCTURE PER IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
' 'THIS IS NOTA PERMIT.
444,.'74/g947) DO NOT WRITE BELOW THIS LINE
Tour street address will be 7 d2 //.3 ///-eoCU o'r..cA--41 / \ ,/ The zone ie
Sewage Permit Number Issued u
Building Permit v Receipt 73 S, ed
Remarks ��%G%/
form 523 Bldg. Code
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