1977, 04-06 Permit App: M0714 Residence1
C my of Spokane, Was �ngfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Al&
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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
—�r- t
Name of Owner C! / /i7 L • C Ae n Address • ` Phone V.9-v� 6—
Engineer Address
Architect Address /iIeiL� (Y nD �C 3� A P� 6t Phone
_ � e Phone
Contractor JA//1 Address Phone
tanh7
Legal Description of Property (Give complete descriptio from deed, tax receipt, etc )
Z. 7 / ZOO Cii / ,She to cod FOR eS f
dF kefe./ r,1 0.3-1/3 90.Q5
DESCRIPTION OAWO K: New /� Addition
Size of Lot .cam /Q �X �.3�_
Seo/.�
St ies
Remodel
Dimensions
Rooms 6 Baths aBasement fel./.1_ Foundation
(Full, part, none)
Heat. System /'. / A. Type of Roofing —5/472' Ext. Finish
Use of Bldg. Mimi' icy 477 C ceaCje
/
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.
Moving
Sewage System
uP , X ,30/'
/
(_7/)
� o Total Sq
Const 1 ��e.Xe TZ'
Zeked
BI... Zone / Fire Zone .'3
C• onst3 /V
�77 P (Fr., Conc., �S. eto. eta.. Ft V3luation
.5f 00U
Chimney/
p'/CK Fireplace
(Kind) Ie (Neu
No. of Units /Bedrooms
Int. Wall Finish
NORTH
(RESIDENTIAL — COMMERCIAL
/177-4C N Ep
SOUTH
I hereby certify information submitted is correct
as shown.
-f/f1 L' /(i
Owner or Agent
State License No.
d K
Ind. Ins. Acct. No.
REQUIRED ,Q
Plumbing Permit /
n+ Heating Permit A/ ell dor 'f'�
HSewage Permit l_., A ,P /% 9.1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
- �7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
cr j
J
DO NOT WRITE BELOW THIS LINE
Tour street address will be /
Sewage Permit Number Issued
The zone is a
Building Permit/ �/�i�1 i ,Receipt g4---57-:) Issued
Remarks
Form 523 Bldg. Code
did t/ic)
fko
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/44
Gy
) 45-
7(9 .