1977, 03-04 Permit App: M0044 ResidenceCanty Spokane, okane, WasIgfon
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
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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 most 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 <ie 1, •-, (/ S ' if Address
Architect Address
Engineer Address
Contractor A Li 1 kt" Address
C — / / d'L 7 Phone / P W 7475/.57
Phone
Phone
96 ', " ET — / 41 Phone WA a '- DO /
Legal Description of Property (Give complete description from deed, tax re ipt, etc) ^ �(
Ldt ) Lc3C.JC J rD e,4.O`�c3 J. 11 dI//d1i
Pa:.c e l
r o ,(>o APC L/ P V
DESCRIPTION OF WORK: New x Addition Remodel
Size of Lot /Sb i X / /0
Stories _ /L/_� Dimensions a x a / ,a {% X 3
Rooms IC7Baths 3 Basement:/( Foundation
Moving Bldg. Zo
Sewage System `I' ••
oa 7 -)4L,/ // i(// Total Sq. F
Const Laj�r'n��p
Heat. System
Use of Bldg.
(Full, part, none) "�
EI.Q_1 6'AeType of Roofing S4i z/VQ Ext. Finish "//7
e p
ne / Fire Zone _43_-
1'
_F - CFonst. Fr
Chimney
PLOT PLAN --or 5't-[rc arc/
Draw sketch with dimensions showing: (1) property lines; (2) street or road locatioi-; (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.
r., Conc., Br., etc.) 0.1
Valuationj51)0011,
Fireplace9"`
(Kind) (Number
Int. Wall Finish Zry 1
Nq. of Units— Bedrooms
E _s ir. j`7r
/50
NORTH
RESIDENTIAL - COMMERCIAL
64,..e81047
/50
SOUTH
I hereby certify information submitted is c and
as shown.
Owner or Agent
there
m
State .License No.
IrlB. IIs. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures
located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
77
Tour street address will be
DO NOT WRITE BELOW THIS LINE
J �l
Sewage Permit Number Issued
Remarks
,•!�`-�� The zone is
uilding Permit _2,
Form 523 Bldg. Code