1977, 04-08 Permit App: M0825 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.
ki�ndlTorr REQUIRED.
anylbuilding orstructure
ealreadyrmit serected, uiredby
County Resolution
erect
Constructionbuilding
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. *here the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress. be
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must
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
Architect
Engineer
Contractor
Le 1 Description of Pypperty ((;five complete d
Cr(' t° / , 1/(534 -- f03
Address
Address
Address
Address
1
Phone
Phone
Phone
roTIdeed,,tax receip etc.) Par 1 Numbe
fMrd Ura//ei/ £r dee.5
DESCRIPTION OF WOR(: New /\ Addition
Size of Lot /4-5Z) X �YQaC
ao%. - 464d. �6 X SO'
S ries Dime sions
Rooms 6 Baths 4 (Fu I B semenone) !� Foun
Remodel
Moving Bldg, Zone
Sewage System
1 Fire
(Const. TQ
Fr., ,CConc., Br. etc
Total Sq. Ft.�L-�al}�ation
c-
i
dation Const (?I' 7 . Chimney (Kind) %Fireplace(Number
Int. Wall Finish D Q y te)� //
No. of Units ,..Bedrooms `-'
Heat. Systemp74. Type of Roofing Ext. Finish
Use of Bldg. 7 771e. (J./
�C�w PLOT PLAN
oocl
s�TfAc �D c2 A v
I 9
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.
NORTH
A �/ec�E9
I hereby certify
as shown.
SOUTH
or tion submitted is correct
in
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit !/-
/
Heating Permit kei / t'/r7 a 10
Sewage Permit _ea R%% a
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are 2 -other structures located �o7n this property except
-r <
er or Agent Date
A LAND USE STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(91/k, 'f/ DO NOT WRITE BELOW THIS LINE
Your street address will be /3 t) 9 v1, �i .x4✓�� i �° p2t * The zone is 61,„ . „t Lf�f � 'L
Sewage Permit Number Issued Building Permit U $ 2.5 Receipt l3 1� '< Issued
Remarks
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