1977, 06-12 Permit App: M2131 ResidenceCanty of Spokane, Wase9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT //)z1 a—
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 mast conform with the
Spoiane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WA . Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
tl 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.tRgress
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 Feil .i. Siraason Sr.
Address
9301 t,roacdo. ay County Phone `2211-0 3 1)t
Architect Address Phone
Engineer Address Phone
Contractor Neil "1. Simpson ,r. Address 9303 v. Broadwa,v County Phone;'2;i-ii`76
Legal Description of Property (Give complete description from deed, tax receipt, etc) W. )5.00 t of t. 11 Smith 1)11),,D)1
of tract L.1 of plat tI4 1 fireenar•rea i rri vti r n rii ntri rf. ano..ord 1 ng to nl at recorded i n
volurnn 17, nage 21. parcel 6 O 7,S
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot : 5 X 11.1.0
Stories Dimensions (I1X26)+(22.22)
Rooms _ . Baths 2 Fu IB Peet ntnofull Foundation Const
Heat. System CleCt. f..=dype of Roofing comp.
Moving Bldg. Zone / Fire Zone
onst. frame
(Fr., Conc., Br., etc.)
Total Sq. Ft 1 )1 b Valuation ,, JsC100.
Sewage System se, -)tic
coacro i:e Chimneyasbesto fireplace 2
P1-11 brick ck (Kind) (Number
Ext Finish i:asone Int. Wall Finish dr wall
Use of Bldg. single family resident :'ith attached garage No. of Units 1 Bedrooms 3
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3)
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
I hereby_rt f1 .formati.s :i.mitted ,is correct an
as shown...•''"
Owner or Ag t
A LAND USE OR smut E PERMIT MUST BE ON THE PREMIS
THIS IS NOT A PERMIT.
_ DO NOT WRITE BELOW THIS LINE
Tour street address will be c /i �Q �' �/24"/
/ i' 1; V �,ti.2 .- The zone is
Sewage Permit Number Issued Building Permit
Remarks
m
location of existing and
Cation of sews
there are no ocher stru
REQUIRED
Plumbing Permit (; n1 d je 27
Heating Permit N
Sewage Permit 5+31(3
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tures located on this property except
Date
RE CONSTRUCTION COMMENCES.
40r4 /
02/3( Receipt 5"i '' Issued
Form 523 Bldg. Code
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