1977, 11-22 Permit App: M4342 Residence•
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 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
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.
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APPLICANT FILL IN BELOW THIS LINE
Name of Owner Gerald Davies Address Hayden Lnke, Id ef3S35 Phone 7ntg-772-5970
Architect Address re "t / /30. g51 Phone
Address Phone
Engineer II
Gerald Davies Address 11Pone
Contractor 3.2. 6-4
! - yQ 6_3Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number pT/1 —
Lot 12 Blk 2 Ponderosa 3rd
DESCRIPTION OF WORK: New _X -- Addition
Size of Lot rr -r- - a y( SO
Remodel
Stories _L Dimensions igsk 97'041i
Rooms _i_ Baths (Full, Baparsement
jaw%
)
FAE Type of Roofing shake
Heat. System
Use of Bldg.
+ tt gar
Foundation Const
Moving
Sewage System sP jet i r• tenlVonst. Frame
(Fr., Conc., Br., etc.)
Bldg. Zone __/-- Fire Zone
20X22
concrete
Total
Sq. Ft 1736 Valuation 56, G00
cedar Ext. Finish wOOd
residence with attached garage
Chimney( in) Fireplace(Number
Int. Wall Finish Drywal 1
No. of Units _LBedrooms 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
to
.4
NORTH
PLOT PLAN
propand
linesdstreets; (5)
ranty lines; (2) rdimensions of buildings;eet or road locations; (location3) (6)location ofesewage gsys-
see attached
par 4A1
G
m
State License No.
was -o/-7,93
Ind. Ins. Acct. No.
RESIDEN3- COMMERCIAL
REQUIRED
Plumbing Permit re
�
Heating Permit 41t1W
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hjta eby certify information submitted is correct and there are no other structures located on this property except
as sho . ,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-77
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
/3
Issued
B ilding Permit
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Receipt(f 8 Isgued
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