1977, 04-06 Permit App: M1232 Residencet
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT r/ - -
GENERAL REQUIREMENTS 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 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 s 1171, , 0fji%) j� /, Address /t f �j� /7 ./? Phone 772' 5 1�
Architect Address h / FI �: ,/ x t -09 Phone
Engineer Address X 7 , ?iii Phone
Contractor J 7%J F Address Phone
Legal Description of Property (Givecompletedescription from deed, tax receipt. etc.) Parcel Number
1 > / /J// -C 2 <3f1 C L 'c 4- J c_r
f�vT/L er .zct- — j727
DESCRIPTION OF WORK: New , A, Addition
Size of Lot 9 i x /,2t
_V/ i f J/ y'2e
Stoles _Dimensions
Rooms Baths - Basement// Foundation Const
(Fut!, part, none
Heat. System �j /i, Type of Roofing C.s'.:/v/./ Ext. Finish
Use of Bldg. /1 /11 64 1-47–AA C_ rA /%ff`'/i;c-
Remodel Moving
Sewage System f i"./4.-- Const � _
(Fr., Conc., Br., etc.) L -C.,
Total Sq. Ft - a 7 Valuation /3
C/- /L C,e-' 7--F Chimney -A.•J'c/Fireplace Z
(Kind) (Number
Int. Wall Finish ✓�e�'G1/ '/�
No. of Units Bedrooms G
Bldg. Zone _at' Fire Zone
wti
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
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
m
State License No.
Oh
Ind. Ins. Acct. No.
RESIDENTIAL – COMMERCIAL
REQUIRED
Plumbing Permit ? �✓9
Heating Permit/;21/ moi// ✓rig t=
Sewage Permit (2
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. i r
i ✓' n - l ` l / �i�
Owner or Agent
Date
;7'7
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Tour street address will be /4 :3
DO NOT WRITE BELOW THIS LINE
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• Y ��v r��r� The zone is >C.L- z. ! -a/14 s'
Sewage Permit Number Issued Building Permit p3ceipt'� / Issued
Remarks
Form 523 Bldg. Code
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14
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