1977, 06-23 Permit App: M2035 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/GENERAL REQUIREMENTS PERMIT FEE �f
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 most 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.
\n ,� AP�LICANT FILL IN BELOWyTHIS %LINE / W.2p5/ �7 /�/
Name of Owner D rn V V c_r b_ rQ Address /7 Q-? W g Phone / 4/ — ?Sfe
Architect Address Phone
'Engineer Address
Contractor Address
Legal/.es ription of Prope y (G4 a complete descri •tion fro de
• _4(00 r (Li �f .
a eipt, a Parcel NumbWr
Phone
Phone -
DESCRIPTION OFDWOCi NX) `, Addition
Size of Lot �/
Stdries D imensjaps3GXt/3 ytaa_
Rooms Baths w/ Basement
(Full, part, no.._, �^_-� .-�L
Heat. System pe of Roofing / Ext. Finish / !�� Int Wall Finish
/
Use of Bldg. .-2-1,24.2-
r,_
/Lp/J�[� /�'7' p-��l".(i 2__ No of Units.(p'Bedrooms
v V 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.
Remodel Moving Bldq, jape Fire
Sewage System Const.
Fr., Co
�'O�� Total Sq Ft Valuati.
Foundation Const Firepl
n
N
H
NORTH
o
foo
SOUTH c, .4J a-yt
I hereby certify information submitted is correct and there are no other structures located on hisprpperty except
as shown. `„ 1/
State - No.
C
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
in • Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date
ALAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be C/' g‘o 5 Yj/\ 44.4. -torn. The zone is u
Sewage Permit Number Issued Building Permit A3 SReceipt
Remarks
C2722—
Form 523 Bldg. Code