1977, 04-01 Permit App: M0605 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / i q 6j
GENERAL REQUIREMENTS PERMIT FEE `7
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 •itb 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
Toast 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. •
CQUNTY 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 wish' 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 1 ()/1A#. Address
Architect Address
Engineer Address
Contractor (AA O• Address
3' 3 F( ora
9974
Legal Description of Pro ert (Gi plate description from deed, tax r eipt, etcPOrrt
Lot � Citi�li>id (��,�+� stet r -f-,
Phone
Phone
Phone
Phgne
DESCRIPTION OF WORK: eww, l/ Addition Remodel Moving Bldg. Zone / Fire Zoo e 3
Size of Lot ZCI[ 1 X I SI� Sewage System S.T' Const. r' a+rn-
S t , 22_)(2.2
/ j r (Fr., Conc.,Br,'etc.)
Stories �Dimensigns �� _F G�io 22 AA . . O Total Sq Ft �aluation l/
Rooms �2 Baths t ( Basement Foundation Const 0m"^r Chimney (Kind FireplaceNum r
.pope
:yr,—
Heat. Syste,:" d+Si` Full,.9� ype o Roofrflling �% Finisyyhh ,,,, ,Int Wall Finish
Use of Bldg. /OF '5i one°, / �P/,►� +(AY! No of Units_ Bedroo s 2
i/ 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.
NORTH — COMMERCIAL
e a- 1- -d
Pk� '
�x��- Plumbing Permit
You are hereby notifi d that the approval of this
plat and zone change has been appealed to m Heating Permit
Spokane, County Superior Court under Nos. 236633 a Sewage Permit
and 237059. You are therefore, requested to -1
consult with legal counsel of your choice before Plans Received
taking any further action. Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
State Likan se No.
Ind. Ins. Acct. No.
SOUTH
I hereby cer ' information submitted is correct and there are no other structures located on t 's p operty exccnt
as s
ner or Agent Date
A LAND US TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS OT A PERMIT.
q- -/'- 77 6,,2O3n Sr
Your street address will be S /5C) t'l-eiAi-er rl2e', The zone
Sema a •-rmit Number Issued Building Permit A D.I Receipt , 7
lama- f . / `
1 : v
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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SLOPE
40
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254
NEWER. ROAbb