1977, 04-07 Permit App: M1723 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
00
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '75V
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 •ith 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.
:TATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
hOUN'fv,. ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work East -6'6
-.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
Architect
d'm L fiicgAlt
Engineer
Contractor
VAih F
Address �Y ' ? /�v.i' 47 .8 Phone 7%7- S-% ti
Address /i.4/'AG.ry /A.l�< �� Phone
Address / f? "-FrPhone
Address Phone -
Legal Description of Property (Give complete description fromf�i
ed. tax receipt, etc.) Parcel Number
Lor g/nn K .2 /�ore- N,c"o24 cZeEe .gn P.ES
p as 2 w 2554/3 - .2 0S
DESCRIPTION OF WORK: New X
Addition
Size of Lot /7 n k
JP/,r /cat/
St6ries _Dimensions
Roans l/7 Baths
Heat. System
Use of Bldg.
Fu
„44,f ,o-,
Basement 1 + // Foun
I, part, none
Type of Roofing --5-2/
Remodel Moving Bldg. Zone —/ Fire Zone ,3
Sewage System Syr Const.
(Fr., Conc., Br.. etc.) ve
Total Sq Ft /l75 Valuation
dation Const (/�Jp_&(rc Chimney, '" Fireplace
// (Kind) (Number
9.eF Ext Finish 410 di) Int Wall Finish -/%,, .1.2,'//
No of UnitslBedrooms - '
y --t '7C
.R..Z44ettt AC2d. 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
/9i7/Pc/vfd
SOUTH
State License No.
nK
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit 7-'7- 4D
Heating Permit ��iJ6.e�.4e,,v
n
Sewage Permit C " .o.Pn%Esr
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
4-7— 77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9.4t- o* la DO NOT WRITE BELOW THIS LINE
- n¢
Tour street address will be /a M g o , ,�`, .f�Q�-/ (It �r�)2 The zone ia'�ter`-(.�'ti
.6.
Sewage Permit Number Issued Building Permit • Receipt Q S_GIssued
Remarks
,,irm 5t3-sldg. Code
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