1977, 09-12 Permit App: M3263 Residence, Renewal of M0108• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 di j
APPLICATION FOR -LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PFRMIT 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 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 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.
APPLICANT FILL IN BELOW THIS LINE
.il/4412,1 ' 99213
Il[ //��
Name of Owner i CAM • Address Sd I/cog Ar tr Phone VP
.Architect Address Phone
Engineer - Address Phone
Contractor 5'nme Address Phone
Legal Description of Property (Give complete description from deed, tax receipt,,etc.) Parc Number
L. r 7 /J/aalr) a' brows ad(f,7 gaol OB 'O 474/
DESCRIPTION 03 XWORK: NewAddition
Size of Lot 2 'O X /5-4,29
Stories /L Dimensions 26 A 34
//
Rooms T Baths /Basement T4s/
pie<
part. none)
Heat. System 'oV'<,/ Type of Roofing etaksOr
Use of Bldg. Pfl/Glh/(
Remodel Moving ° Bldg. Zone / Fire Zone 3
Const. 74/0/7€
(Fr., Conc.,,_BB,. etc.)
Total Sq Ft Valuation J,ccv
Foundation Const LO/rGre re Chimney M a/ Fireplace
(Kind) (N tier
Ext Finish ///'CYJ/J Int Wall Finish 8%2' ��
No of Units _Bedrooms 2 -
Sewage
Sewage System ,59/1/.
•
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
to
N
y
State License No.
x2 -Q/ -/s Za-N
Ind, Ins. Acct. No.
4SIDENTIA - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby car y Surma%iyq�ubmit„ted Ss correct and there are no other structu}'es located on this property except
as shown.
/2/7;
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
6.44 l'i't . /o i)
DO NOT WRITE BELOW THIS LINE
Tour street address will be e / D "/ '.Z 4_
Sewage Permit Number Issued Building
Remarks
PermitPermit
The zone is.X I.4411i&
336 3 Receipt 9 77) Issued
Form 523 Bldg. Code