1977, 03-31 Permit App: M0349 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 mast 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.
APPLICANT FILL IN BELOW THIS LINE
Address
,� wr jt-
/ ?R° N "'licit t' e.. D, ,.v <_ Phone 9,2 '`%- 64991—
1-7/.._
Name of Owner 11,, '
Architect Address Gl-geeovesc Tis ) -z L. ?7C' L Phone
Engineer Address Phone
Contractor /-3L(:iv cies' ar..-r. 4,1 et, A., L4, Address Phone
Legal Description of Propertyf (Give complete description from deed, tax receipt. etc ) E#r�r .2 3 'L `yrc% y
Let 8 13/ . '7 F arly D-34.- , Fs P'St nlr Liv
DESCRIPTION OF WORK: New Addition
Size of Lot f'rrcfy_
Stories Dimensions .2 q,( V'
Rooms Baths
FullBa, psaemrt, noentn)
'.-/
a Type of Roofing
CLs i'S...►._
Heat. System
Use of Bldg.
1
Remodel
Bldg. Zone �— Fire Zone 3
Sewage System S ���[onst.Valuatiom_3 r 3.n
�
t/ (Fr., Coric., Br., etc.).-
Total Sq. Ft. �J
Chimney .4" Fireplace %
(Kind) (Nufh er /
Int. Wall Finish SA 5cc L
No. of Units 4 Bedrooms
Moving
0/
Fou
Cr. -,•I_1 1O' a_Etf Finish
,2,2 x 2 V
Foundation Const
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.
i
m
(A
NORTH
ESIDENTIAZ — COMMERCIAL
I hereby certify i
as shown. L
SOUTH
formation submitted isier�ect and there
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued Building Permit 1X10 3,./
Remarks �J�
are
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
3/3/
DO NOT WRITE BELOW THIS LINE
7/
Date
CONSTRUCTION COMMENCES.
� S,
O,/ Cal, t
The zone is - . '-y !e re," .11
Receipt j /`/K Issued
Form A23 Rhin_ Code