1977, 04-06 Permit App: M1880 Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of =LT
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 Address I r • . at
V7 -
Phone �✓73�
Architect Address /111 . Cl7 4.i A - -e. i a..,, Phone
Engineer CA:Address 23J3J. Phone
S'
Contractor 17) e Address Phone
Legal Description of Property (Give complete description /from deed, tax receipt, etc.) Par el
Lo" a 6/c�'a s �,�&JO()
Poe/20-'4. of P,4yee.e/ -714e dot - 9oi7
Number
DESCRIPTION OF WORK: New
Size of Lt 8'S/X /'/
/ x74 Leoe/ hh h
Stories / Dimensions 0, -(to X
Rooms CO Bathszq Basement
(Full, part, none,
Heat. System E,/-, b. Type of Roofing
Use of Bldg. ,4'omi' by 4 71 17 C
Addition
Remodel
Moving
Sewage System
Foundation
Const
Total Sq
Ext. Finish a_)04d
a,ea 9 e
efw PLOT PLAN
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Bldg. Zone —/ Fire Zone,
�onst. it'�1 /nE
Fr., Conc., : etc.) 2'
Ft Valuation
Chimney Fireplace
(Number
F:y &JO 1/
(Kind)
Int. Wall Finish D
No. of Units /Bedrooms %.9
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
I hereby certify information submitted is correct and there are
as shown. /
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED ,Q
Plumbing Permit V 7 v
�w Heating Permit /0/w0,01.,4Or< P
Sewage Permit d.G R
1 J
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other
structures located on this property except
Owner or Agent /
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be /, / 9 {`''. ,1e4-1144:44/11-4-4-912,off , The zone is,>11-1,4/- i =�
Sewage Permit Number Issued Building Permit /C Receipt Fes -57:-.)4- Issued
Remarks
Form 523 Bldg. Code