1977, 03-24 Permit App: M0108 ResidenceAndy of Spokane, Wasengton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT g%.&
Da
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 filth 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, distuj
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Offhce.
• SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and47235. I
• r$ET-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 r142-4,4441-99otD8
Name of Owner_/S , C -4n4 ,C! A' Address i a .e4' .i - .e Phone 466- 2-/
Architect Address
Engineerpp Address
Contractor f!I/tM4.F- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) PD/4%-
Phone
Phone
is -a r t -cief , -a c,a> a tZi- zc,
DESCRIPTION OF y< O�7RK:-7New k Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot Orf • ! 5- 7( 1 O $- t{ II 1 (fit r Sewage System S %/ Const F1 -4-
f s" e
n Q- �7 (Fr., Conc.,,, BBr., eeyytcc.)))
Stories Dimensions p�-p i 0'" cg—,2.... ,O Total Sq Ft �Q ��Valuation
Rooms6 Baths Basement • Foundation Const [ O�hCf-Chimney Chimney N-_ Fireplace
/ Full, part, non -I-� (Kind) �1 1 umhler
Heat. System Type of Roof), a k.' Ext Finish 1 , 1, 1 Int Wall Finish Pi -7 I^-01�/
Use of Bldg. f 4 / d.e or -r/ al 7/./1 ♦ ' / / / GO� No of Units _ Bedrooms
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.
E
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NORTH
ESIDENTI - COMMERCIAL
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SOUTH
State License No.
MD -o! C.7G.2 RR
Ind. Ins. Acct. No.
OKON
REQUIRED
Plumbing Permit
w Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby) certifyi formati subf ' ted is correct and there are no other structures located on'; his property except
2 o -""t 3- a y- 7 9
as shown..
Owner or Agent Date
/�iriP `�"
A LAS USE OR STRUCTURE
THIS IS NOT A PERMIT,
!rM- 4/4pa)
Your street address will be f'' , 1 „� £
�/ � /( �{��% �L/�� CCThe zone is ill -v+ -r +�.�/ ivicec fid..
Sewage Permit Number Issued Building Permit r// a/4/fReceipt .4/q<'Q Issued
Remarks 7
DO NOT WRITE BELOW THIS LINE
1 Form 523 Bldg. Code
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