1977, 05-09 Permit App: M1247 Residence, Renewal of M0106®ti i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
U
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 connectlons"djsturbs
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
Name of Owner/ 5' &H41Utie Address 5 4:06 /Pte 61' Phone 4'ya /71p
Architect Address T92e'/ Phone
Engineer Address Phone
Contractor Address Ph
Parcel Number ��
L al Description of Pro arty (Give c mutate description from deed, ax receipt, etc.)
i �� rao�D1/2.1,7
0 ��—fry.- d4D#
DESCRIPTION OF WORK: New ✓Addition
Size of Lot( 7i�C ' X r trite r
StoriesS/C Dimensions ;24r .X -_uta r
Rooms 1 Baths 9 Basement rp 1/ Fo
_ lFull, part, none)
Heat. System �l( 06 Type of Roofing
Use of Bldg. aft)) o7
Remodel Moving Bldg. Zone Fire Zone
Sewage System -5� Const. t=i -cc �/J-Y-
(Fr., Conc.,�� pBr., etc.)
Total Sq Ft Valuation y/ C35/000_
undation Const C U ez ca- e r -Q Chimney ' 0 Fireplace
(Kind) (Numb
EZ.Finish Int Wall Finish 2j kro
�� �� tete%' N
of Units
/ I
No —Bedrooms.
Draw sketch with dimensions showing: (I)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
I hereby cert fy 1pfpmat 011 submitted
as shown.
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Da e
CONSTRUCTION COMMENCES.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
/�' ) The zone is `/�"'
Building Permit Receipt
1- a I 0 C' —Hoof' lon4;I-1 —Mal le✓,Lj
Form 523 Bldg. Code
1
IF7
1
Ij/
3z
AO _,
SOUTH
I hereby cert fy 1pfpmat 011 submitted
as shown.
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w Heating Permit
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Da e
CONSTRUCTION COMMENCES.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
/�' ) The zone is `/�"'
Building Permit Receipt
1- a I 0 C' —Hoof' lon4;I-1 —Mal le✓,Lj
Form 523 Bldg. Code