1977, 07-19 Permit App: M2411 MH4•
County of Spokane, Washington
�� ,A �-el
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE• WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 7'dd
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 Own
Architect
ddress
eo 99 02 Phone,5'-qs-$4-7R
Address Phone
Engineer c yrszD D/ Address
Contractor�ddress
Legal Description of i party (Give compl:te descrip ion from deed
E /4-3A.4-;-
x receipt, etc.) Par ��ir ee eiar
Phone
Phone 92S A ,at
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot . RS X
Stories Dimensions
Rooms 1 Baths 1 Basement d Foundation Const rn�nar
1� /Ext Finish�r� Int Wall Finit�M�_L„
o.o , #' e„• a s� No of UnitstBedr
14( Sc6 '
Moving
Se System
Bldg. Zone � Fire Zone 56:71 •} if
wage ys em • �•� onst ��+•+�< T ���-r^-C,
• i!•+ r., Co Br.. etc.) nn
Total Sq Ft 3 ��. Valuati6"n /O zl
Chimney .. aN place Nd^
( Number
Full, part, none
ype Roofing
Heat. Syste
Use of Bldg.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or r
proposed buildings; (4) distance to property lines and streets; (5) dimenaio
tem and water supply lines.
N
NORTH
d locations; (3) location of existing and
s of buildings; (6) location of sewage sys-
SOUTH L,t eeery
I hereby pgt'tify inforration submitt is
as shown./ Imo) APo (. \ U.-
d
1A�/
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MU:
THIS IS NOT A PERMIT.
State License No.
CJL1-44.12-1L/
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other struct
es located on this property except
..10u /9, /977
($te t�
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
N. 3407 c)Ltd/tL
Sewage Permit Number Issued
Building Permit
i •/
t It The zone 1: � - # r o
09'Receipt 45/"41 Issued
Remarks III
Form 523 Bldg. Code