1977, 04-08 Permit Appt: M2175 Residence•
Canty Spokane, okane, Was gton
P
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WeSHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 46:"
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 mast 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 �Y /•/ •'i '1•• Address
Architect Address
Engineer - Address
Contractor ��� . I-/ ' Address
L/�e7gal Description of Priory (Gii�ve . plete desc romomde d,. )ex recpipt =t
1V 61 �/I • / e4/CIfrCG r'�' a•
i Phone
Phone
'. Phone
P one
eZes
191
71z
DESCRIPTION OF WORK: flew Addition Remodel
S oFies / Dimmeens((ioons J' 4 T O / Total Sq Ft
Baths Q2) J
s7, 4 Type of Roofing r54 if -de.... @ Ext. Finish a ..DO CZ
Size of Lot 0 X 6 Cr A) et'9 Le /o0)
Moving BId
Sewage System
. Zone Fire Zone ,
Rooms
Basement
(Full, part, none
Foundation Const l eniee T1"r Chimney
Heat. System
Use of Bldg.
Herne, 6,t / 19h'(7/#L97) Q ,ea, yam:
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. ----�
C4'f%/� e
Fr.onst. , Conc., etc., f
`_ Valuation
Fireplace
(Kind) T (Number /(
Int. Wall Finish / / Pit �{ J
No. of Units /Bedrooms 3
NORTH
(RESIDENTIAL — COMMERCIAL
A7Ac'y��
SOUTH
I hereby c information witted is correct and there
as shown. // 4/
Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIREDRE
0/n Q/Lrr
ie/7‘ey
Plumbing Permit
m Heating Permit
Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Date
A LANDQJSE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
l riiL - j frX o �=
DO NOT WRITE BELOW THIS LINE
yf {�
Your street address will be / -'Id7 ref, f�YlO24•D
Sewage Permit Number Issued Building Permit
Remarks ri I -
•
The zone is C%tctt.,L,g,ac.cli
Receipt y./L- Issued
Form 523 Bldg. Code
SO
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