1977, 06-22 Permit App: M2007 ResidenceCanty p of S okane, Was 9ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT A6(
GENERAL
GENERAL REQUIREMENTS PERMIT FEE • (p
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.
PPLICANT FILL IN BELOW THIS LINE
Name of Owner _ . 141.1. • !i/ .'I Address
t
Phone-g122
Architect % Address Phone
Engineer Address Phone
Contractor NQnai71-0 % Address Phone
Legalescri tion of Property G•ve complete description filmdeed, tax receipt, etc.)
� �' L ra c K 3 L12 I 762
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S. 714 Rp�a, qac. 0 art;en pie e, 4 4.1s..2 10 V.7
DESCRIPTION OF WORK: New Addition Remodel Mt% ing Bld• Zone —� Fire Z•ne tT
Size of Lot 94, )( %apt . 4� Sewage System - lJ "` Cons .
Stories Dimensions 1VR'uAlL., ,25- X /I8 ,NI Att Sl , c?� X eQS J
(o Total Sq. Ft % 771-1Valuatio
Rooms Baths Basement Foundati Const tf-49-714Chimney d - replace
� ) ( in(N
Heat. System ilii Type 9f Roofing b.%ffia 11 Ext. Finish LL.1- -6tY_/ •d�
Int. Wall Finis All-�-
Use of BldgifItiltiL) % 1 I J-'/� )/.!A.td X1.0 ' �ft-
Full, part, non
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.
-$aJ
No. of Units J. Bedroo
N
y
NORTH
COMMERCIAL
0)0
�
eltr"I'D
SOUTH
State License No.
F -L Sac) as-- -o
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 66-14 &�,// ..
n+ Heating PermitOJd
N Sewage Permit A/AA i/y�/ C 1�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
l
I hereby certify infor .tion submitted is correct and there are no other structures located on this property except
as shown.
Owner o
nt
90,411 J 7, /
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-14(440.10
DO NOT WRITE BELOW THIS LINE
Tour street address will be ,moi. ',/:=-/ `N The zone is >,-4%"/t( -� u
Sewage Permit Number Issued Building Permit 4,20e?7Receipt /3't"Issued
Remarks
Form 523 Bldg. Code
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