1977, 06-02 Permit App: M1704 Residence1 III
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT dr/o
GENERAL REQUIREMENTS PERMIT FEE . "—.
rE6al�•�listructure
is required
yucResolution
to elect a building structure or MU PERMIT nd or bulding orstructurealreadyereted, ortohangealand use. Constructionust conform with
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
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must egress.
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 Owne
Architect
Engineer
Contractor i
Legal Dec p ion of Property�(Give complete.description from deedtax receipt, etc /�
/ rte f�� t 'j M c_h erre£.` I/''1�-t- r�;�=1
dC
P rex i Vvi zt{-e yj l 4 G n A/ / icy
r b
e Address
E i tit M LE/14)0.14- \
Address Phone
Address Phone
Address Phone
Phoneq"k ./=.3 4:3
DESCRIPTION OF WORK: New Addition ry
Size of Lot 1O(aft, I ' ��
sr
Stories Dimensions' .4 ►
Rooms IL_ Baths Basement1:14i1
Full, part, none)
, Type of Roofing C --t' /Y1 p Ext. Finish
'h C- •�� i •
—. (71249-6/1441t PLAN
Remodel
Heat. System
Use of Bldg.
Moving Bldg. Zone -L — Fire Zone 3
Sewage System
Sq. Ft
Chimney
Total
Foundation Const cl'/df -I''t''
(Fr.. Conc Br., etc.)
aluation ?') CY-)01
Fireplace /1''''°
(Kind) (Number
Int. Wall Finish cry 3d
No. of Units L Bedrooms
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-
i
tem and water supply lnes.
NORTH
E--
rst
AZ
10.
-7
0
SOUTH
I hereby tify irtf tion submitted is
as shown.
m
sn
rrect d there are no other
State License No.
7Ai iti:1 V
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
0
structures locate¢ on this property except
7-1 7
Ow
or
ent
A LAND USE R STRUCTURE PERMIT MUST BE ON THE
THIS !SWF PERMIT.
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be,
Sewage Permit Number Issued
Remarks
L
Building Permit
The zone is
Re eiptg7/g ssued
Form 523 Bldg. Code