1977, 04-04 Permit App: M0456 Residence41'
- —11
Basic 25 Job# 110
Canty of Spokane. Wash gton-
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $46.00
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 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 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 PobPrt A Long Address E. 11922— 25th Phone 924-4782
Architect - Address Phone
Engineer Address Phone
Contractor - - Si9tDP Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Parcel # 24543-0206
Lot 6, Blk. 2, Rotchford Acre Tracts
DESCRIPTION OF WORK: New X Addition
Size of Lot 52x106x300x150x275
Stories _Dimensions 24x48, 22x26
Rooms 5 Baths 2 Basement 1111 Foundat
(Full, part, none
Heat. Systen ' E1 Pet Type of Roofing SYInke
of Bldg. Residence att. garage
Remodel Moving Bldg. Zone —1 Fire Zone 3
Sewage SystemSep Tank const. Frame
(Fr., Conc., Br., etc.)
Total Sq Ft/724- Valuation 46 . 500
ion Const fonerete Chimney `MasOxlfllreplace - 2
(Kind) (Number
Ext Finish Minna Int Wall Finit Sheet Rock
No of Units _ Bedrooms 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
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-
COMMERCIAL
( I hereb
as shown.
i
A LAND USE OR STRUCTURE PERMIT MU %'f BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTERMIT.
��,` ,/-', #_i//261 DO NOT WRITE BELOW THIS LINE
Your street address will be itiW �G( vv..l CV fiThe zone is , Q�1t
Sewage Permit Number Issued Building Permit /,j,t //JO Receipt Pik 3cIssued
Remarks
SOUTH
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
IMfy nfgrmati ubmitted s'correct and there are no other structures located
L Owner or Agent
Date
onth' property except
Form 523 Bldo. Code
1,1
7.
i
300
0
o_
0) , 4 c r Lor
I /
1
DRYWELL
275'
N
Lor G , BLK 2
ROTCHFORD ACRts
,TOB#NO