1977, 10-07 Permit App: M3671 Residencer •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
y
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Ge OI' y -e /y!
Architect
Engineer
Contractor
Address
Address
Address
Address
Legal Descriptipn of Prgporty Wive compl e• ' f'pti from deed, taxr t��arc Number
Phone
Phone
Phone
,Y -e y— Y3-�
DESCRIPTION OF WORK: Ne !/ Addition T_ Remodel Moving BId . Zo / Fire Zone
/,yam
100 X / y/ / Sepage System � C_ Const. />ie Q ove L-€.—
l� !s O2 y x /1/ '1- 02 v2. ix 1 / 7.1 /0 .f- /l' X l3 I Fr., Conc., Bf., etc.) 0'7
Rooms/ Dimensions 0 Total Sq. Ft ^ V luation J �-'
Rooms co Baths Basement AV/ Foundation Const Chimney %7.4;7 i:Fireplace 2—
��--// (Full, part, none) (Kind) (Number /
Heat. System '' - F4. ype of Roofing .D m A Ext. Finish ^ (/ Int. Wall Finish � R l(� /
Use of Bldg. Qts.. Q�c. ' 'ft No. of Units Bedrooms
,OCI�.,� L .2. ,
Size of Lot
9' LOT
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.
•
NORTH(r /
I hereby
ae shown.
T
cn
rca
SOUTH
certify information submitted
3
Plumbing Permit
‘_CIVons Heating Permit
Sewage Permit
Owner or Agent
State License No.
Ind. Ins. Acct. No.
223-&i-2(871
COMMERCIAL
REQUIRED
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
/a— 1- 7
Date
A ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH I NOTA PERMIT.
DO NOT WRITE-JELOW THIS LINE
o street address will be ...2.32ge, -!E.5. C2T
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17
Sewage Permit Number Issued 8uildingermit \5"I'
Remarks
The zone is /
Receipt fh 3 -2 to Issued
Form 523 Bldg. Code