1977, 06-22 Permit App: M2118 ResidenceLLS --
Architect
'
C ntY Spokane, S okane, Was go
t n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE. I•i
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 Addres
Phone e7S92
Phone
Engineer Address Phone
Contractor 'r� Address Phone
Legal Description of Prop (Give complete ascription froom deed, tax r eipt, etc.)
bo r / Oe.x /�c"�i9 7E74
4e. 6-e-
DESCRIPTION OF WORK: New X Addition
Size of Lot
Stories
Rooms Baths Basement .
Full, part, non
Heat. System /f
Use of Bldg
Dimensionso2c/Xo78" </ 'O X
1
1(.(?•134X-1',.03-K.))7
Remodel Moving Bldg
Sewage System
J I/
a 1-.90 / Total Sq. Ft
undation Const Chi
Zone ; Fire Z ne
Const _•-rr_+
`�� (Fr., C c Br etc.)
/ Valuatio
Chimney
irepiace =
(Kind) (Number
g F Type of/Roofing [% Ext. Finish t'
Int. Wall Fini
o. of Units./Bedroo
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.
m
a
NORTH
COMMERCIAL
SOUTH
I hereby certify inforggMiion submitted is
as shown.
yV�
Owner
correct
and there are
Lev -4
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit�E-46--o—
NSewage Permit .,
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property
ZYZ.,C).7,/9,7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
excep
DO NOT WRITE BELOW THIS LINE
Your street address will be .,j , 7 �� )"Th
e zone
Sewage Permit Number Issued Building Permit( -791,./ '"Receipt 2.j,-)",,7Issued
Remarks
Form 523 Bldn. Cnde
4,10'
S.seitie tt„,,k
900 ALLod
i 17-
Oo
zin
/ 1/
4,4)- /6 "
Ghst"
19‘..
it"
4-0.9
JeLH
bs e_opeireerc -
Didue-
S,
709 Re dt.s. /'
20-i- Li Loci< 3
1=1 1