1977, 04-04 Permit App: M0457 ResidenceBasic 3 Job # 109
Canty of Spokane, Was{r!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $50.00
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 1s 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 2.
Name of Owner Robert A. Long Address E. 11922— 25th Phone 924-4782
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed. tax receipt etc 1
Parcel # 24543-0205
Lot i 5, Blk. 2 Rotchford Acre Tracts
DESCRIPTION OF WORK: New X Addition
Size of Lot 100x78x275x150 x325
Stories 1 Dimensions' 46x26, 22x31
Rooms Bath% 2 Basement,ull Foundation
(Full, part. none)
Remodel
Moving
Bldg. Zone -_1_ Fire Zone 3
Sewage System 4Ppti C m Const. Frame
(Fr., Conc., Br:, etc.)
Total Sq Ft 1978 Valuation 47.000
const Concrete Chimney MaS011rFrjrreplace 2
(Kind), (Number
Heat. System,. A. Eletyte of Roofing Shnke Ext. Finish T1 —11 , T,ap Int Wall FinishGhePt Beek
Use of Bldg. Residence, att. Garage No of Units 1. Bedrooms 3
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 street -• ) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
SOUTH
I hereby if in mat submitte
ras shown.
correct and there are
State License No.
LO-NG-*R-A246R0
Ind. Ins. Acct. No.
327-551
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures locateo this property excepts
.4/V27
/ .4F
w Owner or Agent !% ' � Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT PERMIT.
t7 -P-1-4-072/ O NOT WRITE BELOW THIS LINE
Your street address will be = s:r�y- The zone is '7r ce_j,�/
Sewage Permit Number Issued _� Building Permit (l C Receipt ri `%j IeauedSS
'
Remarks
Form 523 Bldo. Code
1
47
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Lor 5, BLk 2
ROTC NFORo /1c,es
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