1977, 08-11 Permit App: M2793 Residence. County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
. APPLICATION FOR LAND 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 ■Ith 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 47235.
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.
r� APPLICANT FILL IN BELOW THIS LINE 9W 3? c
Name of Owner S /44 tT (?a zr S Address . Ar so 277/ •
`, phone 9Z -52 7O
Architect Address ���./,i -r'j 4X�Phone
Engineer ,/ Address Phone
Contractor %9 S 4 en P' L Address a Phone -
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number c9 l .3Y — €972 S.
LITS, Czfs z1 S/'S S'CiB Z
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone ,
Size of Lot 9a X % 30 Sewage ys m CConst-e�tc") t
��� . - f (Fr., Co Br ,
-"etc")
Stories p. Dimensions �(—.•/ �.7•. 7 - /aid �taN Sq Ft � Valuation *V-6/ 000
Rooms p Baths Basement 1wl Foundation C• st. -s ..'a himney aatmerre•lace 2
u I, art, no �t (Kind) (Num
•:r
Heat. System Type of Roofing ,�/ Ext. Finis ..s' eL.,,: Int Wall Finish
Use of Bldg. .h. i,,..,.`i ! 9L-i'/f'/ te .l1_4i itiiNo of Units LBe,�ooms
PLOT PLAN
Draw sketch with dimensions sharing: (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
I hereby certi
as shown.
SOUTH
State Lice se No.
Ind. Ins. Acct. No.
//377?
RESIDENTIAL COMMERCIAL
REQUIRED
Plumbing Permit
wr Heating Permit
• Sewage Permit
- t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Sosubmitted is correct and there are no other structure located on this property except
Owne or Agent sate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Iour street address will be / 19 p/F([/F%i The zone is
Sewage Permit Number Issued' Building Permif 79) Receipt 9/-7 Iss d
Remarks
Form 523 Bldg. Code