1977, 03-31 Permit App: M0910 MH1
C
0
Cointy of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAPID 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ZlfihIfCoci cL /ht• Address 0,246q
Phone _7J=i96o o
Architect Address Phone
Engineer Address
5 ;2--n1-4-- Phone
Contractor
Address Phone
Legal Description ofyP operty !(Give complete deesription from deed/ tax receipt etc 1
/nT 6 JJ/o cis----- C, £bJLUn r+ cI rag 74 Lf r e. tntc. /`/ail
ie nES y., 0607
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot //SX 74', c7)r c+ 5 -SC 72_
Stories _Dimensions
/C/K
Rooms tj Baths/ Basement
Full, part, none)
dE/e'—C- Type of Roofing
ilkhz /-c / ntc
Heat. System
Use of Bldg.
Foundation Const
eL
Moving Bldg. Zone
Sewage System 51.170.c
To[al Sq Ft Vele'
e- / Ext. Fina
aS
Chimney
S ! a/.nht1
/ Fire Zone
onst
Fr., Conc., Br., etc.)
Valuation /en ri ri
(Kind) Fireplace
(Number
Int Wall Finish
No of Units _ Bedrooms
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.
NORTH RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
w Heating Permit
NSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify tion submitted is correct and there are no other structures located on this property except
as shown.
-?-- 37--77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
LTiu., 744jc4D DO NOT WRITE BELOW THIS LINE
`
Tour street address will be .3 3o y /l/C ,ea The zone is
kSewage Permit Number Issued ' Building Permit 121 13 -fit) Receipt .j/' �/ Issued
demarks
Form 523 Bldg. Code